LAPAROSCOPIC METHOD IN THE FORMATION OF INTERURETERAL PROXIMAL ANASTOMOSIS IN A CHILD WITH VAGINAL ECTOPIA AND URETEROHYDRONEPHROSIS OF THE UPPER SEGMENT OF A DUPLICATED LEFT KIDNEY


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The duplication of the urinary tract is a developmental anomaly of the urinary system, which is represented in 0.8% of the population. In most cases, the duplication is incomplete and clinically insignificant. However, in the case of complete duplication, there is possible both an association with such pathologies as ureterocele, vesicoureteral reflux (VUR), urinary incontinence, ureterohydronephrosis and relation to recurrent urinary tract infections. Depending on the identified pathology it is possible to perform surgical interventions. These are organ-displacing operations (heminephroureterectomy) and reconstructive surgery - ureterocystoplasty of the one ureter or both ureters “as a single unit”, as well as the formation of interureteral anastomoses. Currently, there is the possibility to perform both open and endoscopic surgeries. We present a case report of endoscopic minimal invasive reconstructive intervention, performed to patient with ureterohydronephrosis ectopied in the vagina of the urethra of the duplicated left kidney and complaints of urinary incontinence.

作者简介

S. Vrublevskiy

Morozov Children Municipal Clinical Hospital; N.I. Pirogov Russian National Research Medical University

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I. Poddubnyy

Morozov Children Municipal Clinical Hospital; A.I. Evdokimov Moscow State University of Medicine and Dentistry

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O. Shmyrov

Morozov Children Municipal Clinical Hospital

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E. Vrublevskaya

Morozov Children Municipal Clinical Hospital; N.I. Pirogov Russian National Research Medical University

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M. Lazishvili

Morozov Children Municipal Clinical Hospital

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A. Kulaev

Morozov Children Municipal Clinical Hospital

Email: arturkulaev@gmail.com
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M. Korochkin

Morozov Children Municipal Clinical Hospital

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A. Vrublevskiy

Morozov Children Municipal Clinical Hospital

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参考

  1. Privett J., Jeans W., Roylance J. The incidence and importance of renal duplication. Clin. Radiol. 1976; 27(4): 521-30.
  2. Smith F.L., Ritchie E.L., Maizels M., Zaontz, M.R., Hsueh W., Kaplan W.E., Firlit C.F. Surgery for duplex kidneys with ectopic ureters: ipsilateral ureteroureterostomy versus polar nephrectomy. J. Urol. 1989; 142(2, Pt. 2): 532-4.
  3. Plaire J.C., Pope J.C. 4th, Kropp B.P., Adams M.C., Keating M.A., Rink R.C., Casale A.J. Management of ectopic ureters: experience with the upper tract approach. J. Urol. 1997; 158(3, Pt. 2): 1245-7.
  4. Michaud J.E., Akhavan A. Upper Pole Heminephrectomy Versus Lower Pole Ureteroureterostomy for Ectopic Upper Pole Ureters. Curr. Urol. Rep. 2017; 18(3):.21.
  5. Bansal D., Cost N.G., Bean C.M., Vanderbrink B.A., Schulte M., Noh P.H. Infant robot-assisted laparoscopic upper urinary tract reconstructive surgery. J. Pediatr. Urol. 2014; 10(5): 869-74.

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