One-Step Laparoscopic Surgery for Two Regions : Pelvi-Ureteric Junction Obstruction and Mid Ureteral Obstruction Due to Umbilical Ligament
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- Sasaki Yutaro
- The Department of Urology, Takamatsu Red Cross Hospital
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- Shiozaki Keito
- The Department of Urology, Takamatsu Red Cross Hospital
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- Izumi Kazuyoshi
- The Department of Urology, Takamatsu Red Cross Hospital
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- Kawanishi Yasuo
- The Department of Urology, Takamatsu Red Cross Hospital
Bibliographic Information
- Other Title
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- 腎盂尿管移行部狭窄と臍動脈索による中部尿管狭窄の2カ所に対し,一期的な腹腔鏡手術を行った1例
- ジンウニョウカン イコウブ キョウサク ト セイドウミャクサク ニ ヨル チュウブ ニョウカン キョウサク ノ 2カショ ニ タイシ,イチゴテキ ナ フククウキョウ シュジュツ オ オコナッタ 1レイ
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Abstract
The patient first presented with left flank pain at the age of 15. Computed tomography (CT) and ultrasonography performed at that time revealed left hydronephrosis and hydroureter. Mid-ureteral obstruction was suspected, and he underwent balloon catheter dilation of the mid-ureteral obstruction. Hydronephrosis, hydroureter and flank pain improved after surgery. However, at 21 years of age, he again presented with left flank pain. CT and ultrasonography revealed pelvi-ureteric junction obstruction and mid-ureteral obstruction. The suspected cause of the mid-ureteral obstruction was the umbilical ligament. Renal scintigraphy showed an obstructive pattern in the left kidney, with 52% split renal function. He thus underwent laparoscopic pyeloplasty and end-to-end anastomosis of the mid-ureter with the one-step approach. No intra- or postoperative complications occurred, and the D-J stent was removed 6 weeks after surgery. At 12 months after surgery, he has had no recurrent flank pain and left renal function is normal.
Journal
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- 泌尿器科紀要
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泌尿器科紀要 63 (1), 21-23, 2017-01-31
泌尿器科紀要刊行会
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Keywords
Details 詳細情報について
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- CRID
- 1390572174797424384
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- NII Article ID
- 120005980885
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- NII Book ID
- AN00208315
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- HANDLE
- 2433/218499
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- NDL BIB ID
- 027870978
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- ISSN
- 00181994
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- PubMed
- 28245541
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Allowed