在局部麻醉下从移植肾中取出被遗忘了 19 年的输尿管支架。

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-09-24 DOI:10.1308/rcsann.2024.0066
S S Gosein, J A Forster, J F Bolton
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引用次数: 0

摘要

肾移植后,输尿管支架的目的是尽量减少输尿管膀胱吻合术的并发症。虽然移植后没有明确的支架移除时间,但理想的移除时间是 2 到 4 周。然而,被遗忘的支架会对肾移植功能产生不利影响,并导致梗阻性尿病。我们为大家介绍一位保留输尿管支架超过 19 年的 59 岁男性,他的输尿管支架没有包壳、碎裂、移位和结石形成。据我们所知,这是肾移植患者中保留时间最长的输尿管支架,也是第一例在局麻下通过柔性膀胱镜取出的被遗忘的支架。
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Nineteen-year forgotten ureteral stent removed under local anaesthetic from a transplanted kidney.

Following renal transplant, ureteral stents aim to minimise ureteroneocystostomy anastomotic complications. Although there is no specified timing for stent removal after transplantation, these are ideally removed at between 2 and 4 weeks. However, forgotten stents can adversely affect renal allograft function and contribute to obstructive uropathy. We present a 59-year-old man with a retained ureteral stent for more than 19 years with an absence of encrustations, fragmentation, migration and stone formation. To our knowledge, this is the longest retained ureteral stent in a renal transplant patient and the first forgotten stent removed via flexible cystoscopy under local anaesthetic.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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