小児異所開口尿管症40例の治療経験 : 特に完全な異所尿管断端の処置を含めた一次的外科治療法

概要

論文の詳細を見る
Fourty children with ureteral ectopia experienced during the last 10 years at Hokkaido University Hospital were reported. 27 cases were associated with duplex system and 13 cases were seen in the single system. All were subjected to surgical therapy in one stage. Renal conserving procedures were performed in 18 cases (reimplantation of ureters in 17 cases and urinary diversion in 1 cases) while renal ablative procedures were done in 22 cases (heminep-hroureterectomy in 13 cases and simple nephrectomy in 9 cases). In 31 cases where the ectopic ureter was terminating in the urinary system, particular emphasis was placed in complete excision of the ectopic ureteral stump to avoid various postoperative problems arising from its persistence. Our method of total excision of the ectopic ureteral stump and complete closure of its hiatus were described by demonstrating several representative cases. Importance of knowing the mode of ureteral insertion in the urinary system by evaluating the types of ureteral hiatus was stressed as a mandatory preoperative procedures for the safe one stage repair of these intricate problems.
日本小児外科学会の論文
1981-06-20