自体组织在输尿管修复重建手术中的应用

王建黎; 李兵

doi:10.13201/j.issn.1001-1420.2020.08.006

自体组织在输尿管修复重建手术中的应用

王建黎,
李兵^,

- 华中科技大学同济医学院附属协和医院泌尿外科(武汉, 430022)
基金项目:
国家自然科学基金(No:81671216)

详细信息

通讯作者: 李兵,E-mail:bingli@hust.edu.cn

中图分类号: R693

收稿日期: 2020-05-27

Application of autologous tissue in ureteric reconstruction

WANG Jianli,
LI Bing^,

- Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

More Information

Corresponding author: LI Bing, E-mail: bingli@hust.edu.cn

Received Date: 27 May 2020

摘要

摘要: 本文对自体组织在输尿管修复重建手术中的应用进行了总结。目前,应用最广泛的自体组织包括回肠、阑尾、结肠、颊黏膜、舌黏膜以及腹膜等。在应用自体组织修复病变输尿管时,应评估输尿管病变的病因、位置、长度以及自体组织移植物的条件,结合术者经验,进而制定个体化的手术方案。自体组织输尿管修复重建手术应做到输尿管替代材料血供充足,无张力、不漏水吻合。肠道组织以及口腔黏膜是目前应用最广泛的自体组织,相应的技术日趋完善,并发症少。
- 输尿管狭窄 /
- 重建 /
- 回肠 /
- 阑尾 /
- 结肠 /
- 颊黏膜 /
- 舌黏膜
Abstract: This study aimed to provide an overview of using autologous tissues in ureteral reconstruction. To date, ileum, vermiform appendix, colon, buccal mucosa, lingual mucosa, and peritoneum have been widely used as autologous grafts in ureteroplasty. An individualized surgical plan can be made by evaluating the etiology, location, length, conditions of autologous tissue grafts and surgeons' experience in repair of ureter using autologous tissues. The goal is to provide adequate blood supply for the graft and to ensure a tension-free and watertight anastomosis. Intestinal tissue and oral mucosa are the most widely used autologous tissues at present, and the corresponding technique is in continuous improvement with fewer complications occurring.
- ureteral stricture /
- reconstruction /
- ileum /
- vermiform appendix /
- colon /
- buccal mucosa /
- lingual mucosa

HTML全文

参考文献(76)

[1]	Elliott SP,Mcaninch JW.Ureteral Injuries:External and Iatrogenic[J].Urol Clin North Am,2006,33(1):55-66.
[2]	Stief CG,Jonas U,Petry KU,et al.Ureteric reconstruction[J].BJU Int,2003,91(2):138-142.
[3]	Verduyckt FJH,Heesakkers JPFA,Debruyne FMJ.Long-Term Results of Ileum Interposition for Ureteral Obstruction[J].Eur Urol,2002,42(2):181-187.
[4]	Bonfig R,Gerharz EW,Riedmiller H .Ileal ureteric replacement in complex reconstruction of the urinary tract[J].BJU Int,2015,93(4):575-580.
[5]	Yang WH.Yang Needle Tunneling Technique in Creating Antireflux and Continent Mechanisms[J].J Urol,1993,150(3):830-834.
[6]	Monti PR,Lara RC,Dutra MA,et al.New techniques for construction of efferent conduits based on the mitrofanoff principle[J].Urology,1997,49(1):112-115.
[7]	Pope J,Koch MO.Ureteral Replacement with Reconfigured Colon Substitute[J].J Urol,1996,155(5):1693-1695.
[8]	Maigaard T,Kirkeby HJ.Yang-Monti ileal ureter reconstruction[J].Scand J Urol,2015,49(4):1-6.
[9]	Ordorica R,Wiegand LR,Webster JC,et al.Ureteral Replacement and Onlay Repair with Reconfigured Intestinal Segments[J].J Urol,2014,191(5):1301-1306.
[10]	Ali-El-Dein B,Ghoneim MA.Bridging Long Ureteral Defects Using the Yang-Monti Principle[J].J Urol,2003,169(3):1074-1077.
[11]	Castellan M,Gosalbez R.Ureteral replacement using the Yang-Monti principle:Long-term follow-up[J].Urology,2006,67(3):476-479.
[12]	Kamat NN,Khandelwal P.Laparoscopy-Assisted Reconstruction of a Long-Segment Ureteral Stricture Using Reconfigured Ileal Segment:Application of the Yang Monti Principle[J].J Endourol,2007,21(12):1455-1460.
[13]	Steffens JA,Anheuser P,Reisch B,et al.Ureteric reconstruction with reconfigured ileal segments according to Yang-Monti.A 4-year prospective report[J].Urologe A,2010,49(2):262-267.
[14]	Esmat M,Abdelaal A,Mostafa D.Application of Yang-Monti Principle in Ileal Ureter Substitution:Is It a beneficial Modification?[J].Int Braz J Urol,2012,38(6):779-787.
[15]	Takeuchi M,Masumori N,Tsukamoto T.Ureteral Reconstruction With Bowel Segments:Experience With Eight Patients in a Single Institute[J].Korean J Urol,2014,55(11):742-749.
[16]	Bao J,He Q,Li Y,et al.Yang-Monti Principle in Bridging Long Ureteral Defects:Cases Report and A Systemic Review[J].Urol J,2017,14(4):4055-4061.
[17]	Liu D,Zhou H,Hao X,et al.Laparoscopic Yang-Monti Ureteral Reconstruction in Children[J].Urology,2018,118:177-182.
[18]	Wang Z,Sun Z,Luo G,et al.Treatment of urinary calculi after Yang-Monti ileal ureter reconstruction:a case report[J].Bmc Urol,2019,19(1):12.
[19]	Ubrig B,Waldner M,Roth S.Reconstruction of ureter with transverse retubularized colon segments[J].J Urol,2001,166(3):973-976.
[20]	Ubrig B,Roth S.Reconfigured colon segments as a ureteral substitute[J].World J Urol,2003,21(3):119-122.
[21]	Lazica DA,Ubrig B,Brandt AS,et al.Ureteral Substitution With Reconfigured Colon:Long-Term Followup[J].J Urol,2012,187(2):542-548.
[22]	Zargar MA,Mirzazadeh M,Zargar K .The Appendix,An Acceptable Substitute For All Segments Of BothUreters:A Report Of Two Cases[J].Med J Islam Repub Iran,2004,18(2):177-180.
[23]	Ashley MS,Daneshmand S .Re:Appendiceal substitution following right proximal ureter injury[J].Int Braz J Urol,2009,35(1):90-91.
[24]	Duty BD,Kreshover JE,Richstone L,et al.Review of appendiceal onlay flap in the management of complex ureteric strictures in six patients[J].BJU Int,2015,115(2):282-287.
[25]	Goyanes AD,Villanueva AG,Echavarria JAL,et al.Replacement of the left ureter by autograft of the vermiform appendix[J].Br J Surg,1983,70(7):442-443.
[26]	Shen X,Xv M,Liu G,et al.Ureteral Replacement with Appendix in a Pediatric Group:A Report of Two Cases and Review of the Literature[J].Eur J Pediatr Surg,2012,22(4):329-331.
[27]	Cao H,Zhou H,Yang F,et al.Laparoscopic appendiceal interposition pyeloplasty for long ureteric strictures in children[J].J Pediatr Urol,2018,14(6):551.e1-551.e5.
[28]	Lloyd SN,Kennedy C.Autotransplantation of the Vermiform Appendix following Ureteroscopic Damage to the Right Ureter[J].Br J Urol,1989,63(2):216-217.
[29]	Goldwasser B,Leibovitch I,Avigad I .Ureteral substitution using the isolated interposed vermiform appendix in a patient with a single kidney and transitional cell carcinoma of the ureter[J].Urology,1994,44(3):437-440.
[30]	Estevo-Costa J.Autotransplantation of the vermiform appendix for ureteral substitution[J].J Pediatr Surg,1999,34(10):1521-1523.
[31]	Richter F,Stock JA,Hanna MK.The appendix as right ureteral substitute in children.[J].J Urol,2000,163(6):1908-1912.
[32]	Jang TL,Matschke HM,Rubenstein JN,et al.Pyeloureterostomy with Interposition of the Appendix[J].J Urol,2002,168(5):2106-2107.
[33]	Kaur N,Minocha VR.Ureteric stricture with a perirenal urinoma treated by ureteric replacement with appendix[J].Int Urol Nephrol,2003,35(1):87-90.
[34]	Antonelli A,Zani D,Dotti P,et al.Use of the Appendix as Ureteral Substitute in a Patient with a Single Kidney Affected by Relapsing Upper Urinary Tract Carcinoma[J].Sci World J,2005,5:276-279.
[35]	Dagash H,Sen S,Chacko J,et al.The appendix as ureteral substitute:A report of 10 cases[J].J Ped Urol,2008,4(1):14-19.
[36]	Reggio E,Richstone L,Okeke Z,et al.Laparoscopic Ureteroplasty Using On-Lay Appendix Graft[J].Urology,2009,73(4):928.e7-928.e10.
[37]	Deyl RT,Averbeck MA,Almeida GL,et al.Appendix interposition for total left ureteral reconstruction[J].J Pediatr Urol,2009,5(3):237-239.
[38]	Obaidah A,Mane SB,Dhende NP,et al.Our Experience of Ureteral Substitution in Pediatric Age Group[J].Urology,2010,75(6):1476-1480.
[39]	Corbetta JP,Weller S,Bortagaray JI,et al.Ureteral replacement with appendix in pediatric renal transplantation[J].Pediatr Transplant,2012,16(3):235-238.
[40]	Komyakov B,Ochelenko V .16 Replacement of ureteral defects with vermiform appendix:report of 16 cases[J].J Urol,2013,189(4):e6-e7.
[41]	Yarlagadda VK,Nix JW,Benson DG,et al.Feasibility of Intracorporeal Robotic-Assisted Laparoscopic Appendiceal Interposition for Ureteral Structure Disease:a Case Report[J].Urology,2017,109:201-205.
[42]	Popov SV,Orlov IN,Vyazovtsev PV,et al.Left-sided ureteroplasty with appendix[J].Eur Urol Suppl,2017,16(3):e2145.
[43]	Wang J,Xiong S,Fan S,et al.Appendiceal onlay flap ureteroplasty for the treatment of complex ureteral strictures:initial experience of nine patients[J].J Endourol,2020.
[44]	Waldorf B,Lee Z,Kidd L,et al.Robotic Buccal Ureteroplasty:a Review of the Current Literature.[J].Curr Urol Rep,2017,18(5):40.
[45]	Filipas D,Fisch M,Fichtner J,et al.The histology and immunohistochemistry of free buccal mucosa and full-skin grafts after exposure to urine[J].BJU Int,1999,84(1):108-111.
[46]	Chapple C,Andrich D,Atala A,et al.SIU/ICUD Consultation on Urethral Strictures:The Management of Anterior Urethral Stricture Disease Using Substitution Urethroplasty[J].Urology,2014,83(3):S31-S47.
[47]	Naude JH.Buccal mucosal grafts in the treatment of ureteric lesions[J].BJU Int,1999,83(7):751-754.
[48]	Kroepfl D,Loewen H,Klevecka V,et al.Treatment of long ureteric strictures with buccal mucosal grafts[J].BJU Int,2009,105(10):1452-1455.
[49]	Shah SA,Ranka P,Visnagara M,et al.Use of buccal mucosa as onlay graft technique for benign ureteric strictures[J].Indian J Urol,2003,20(1):28-32.
[50]	Agrawal V,Dassi V,Andankar MG.Buccal mucosal graft onlay repair for a ureteric ischemic injury following a pyeloplasty[J].Indian J Urol,2010,26(1):120-122.
[51]	Badawy AA,Abolyosr A,Saleem MD,et al.Buccal Mucosa Graft for Ureteral Stricture Substitution:Initial Experience[J].Urology,2010,76(4):971-975.
[52]	Sadhu S,Pandit K,Roy MK,et al.Buccal mucosa ureteroplasty for the treatment of complex ureteric injury[J].Indian J Surg,2011,73(1):71-72.
[53]	Trapeznikova MF,Bazaev VV,Shibaev AN,et al.[Replacement plastic reconstruction of extended ureteral stricture using buccal mucosa autograft[J].Urologiia,2014,2(2):16.
[54]	Pandey A,Dican R,Beier J,et al.Buccal mucosal graft in reconstructive urology:uses beyond urethral stricture[J].Int J Urol,2014,21(7):732-734.
[55]	Zhao LC,Yamaguchi Y,Bryk DJ,et al.Robot-Assisted Ureteral Reconstruction Using Buccal Mucosa[J].Urology,2015,86(3):634-638.
[56]	Tsaturyan A,Akopyan K,Levonyan A.Long ureteric stricture replacement by buccal mucosa graft:An Armenian experience case series report[J].Cent Eur J Urol,2016,69(2):217-220.
[57]	Sabale VP,Thakur N,Kankalia SK,et al.A case reporto on buccal mucosa graft for upper ureteral stricture repair[J].Urol Ann,2016,8(4):474-477.
[58]	Fahmy O,Schubert T,Khairul-Asri MG,et al.Total proximal ureter substitution using buccal mucosa[J].Int J Urol,2017,24(4):320-323.
[59]	Arora S,Campbell L,Tourojman M,et al.Robotic Buccal Mucosal Graft Ureteroplasty for Complex Ureteral Stricture.[J].Urology,2017,110:257-258.
[60]	Lee Z,Waldorf BT,Cho EY,et al.Robotic Ureteroplasty with Buccal Mucosa Graft for the Management of Complex Ureteral Strictures.[J].J Urol,2017,198(6):1430-1435.
[61]	Zhao LC,Weinberg AC,Lee Z,et al.Robotic Ureteral Reconstruction Using Buccal Mucosa Grafts:A Multi-institutional Experience[J].Eur Urol,2018,73(3):419-426.
[62]	Ganpule AP,Singh AG,Islam MR,et al.Robotic buccal mucosa graft ureteroplasty(inlay and onlay)for upper ureteric stricture:Point of technique[J].J Minim Access Surg,2018,14(4):357-361.
[63]	Grybas A,Snicorius M,Cekauskas A,et al.First experience of ureteroplasty with buccal mucosa graft(BMG)onlay technique in long segment ureteral stricture after failed pyeloplasty[J].Eur Urol Suppl,2019,18(3):e2450.
[64]	Hefermehl LJ,Tritschler S,Kretschmer A,et al.Open ureteroplasty with buccal mucosa graft for long proximal strictures:A good option for a rare problem[J].Investig Clin Urol,2020,61(3):316-322.
[65]	Xu YM,Li C,Xie H,et al.Intermediate-Term Outcomes and Complications of Long Segment Urethroplasty with Lingual Mucosa Grafts[J].J Urol,2017,198(2):401-406.
[66]	Li B,Xu Y,Hai B,et al.Laparoscopic onlay lingual mucosal graft ureteroplasty for proximal ureteral stricture:initial experience and 9-month follow-up.[J].Int Urol Nephrol,2016,48(8):1275-1279.
[67]	李兵,徐玉节,海波,等.腹腔镜舌黏膜输尿管成形术修复输尿管上段狭窄的初步临床应用[J].临床泌尿外科杂志,2015,30(10):11-13.
[68]	Beysens M,Groote RD,Haute CV,et al.Robotic lingual mucosal onlay graft ureteroplasty for proximal ureteral stricture[J].Eur Urol Suppl,2018,17(2):e1935.
[69]	Onal B,Gultekin MH,Simsekoglu MF,et al.Preputial Graft Ureteroplasty for the Treatment of Complex Ureteral Stricture:A New Surgical Technique and Review of Literature[J].J Endourol Case Rep,2018,4(1):136-139.
[70]	谢宇,韩惟青,金霞,等.带腹壁下血管腹膜瓣修复输尿管长段缺损的实验研究[J].临床泌尿外科杂志,2014,29(5):63-64,67.
[71]	胡顺鸿,刘平.带蒂腹膜瓣输尿管成形术治疗输尿管长段狭窄[J].临床泌尿外科杂志,1998,13(8):368-369.
[72]	龚力山.带蒂腹膜瓣治疗输尿管长段狭窄的初步报告[J].铁道医学,1992,9(5):295,324.
[73]	郭恩忠,陈余良.利用腹膜瓣修补长段输尿管狭窄6例报告[J].中国医科大学学报,1994,23(4):398-399.
[74]	Emanuela T,Palermo Salvatore M,Carolina DE,et al.An Alternative Technique for Treating Complex Ureteral Strictures and Defects using A Peritoneal Graft[J].Biomed J Sci Tech Res,2017,1(5):1531-1535.
[75]	罗义云,郑晓斌,王伟吾,等.带蒂腰大肌肌筋膜瓣修复长段输尿管中段狭窄一例[J].中国修复重建外科杂志,1994,8(3):155.
[76]	Wolters HH,Heistermann HP,Stöppeler S,et al.A New Technique for Ureteral Defect Lesion Reconstruction Using an Autologous Vein Graft and a Biodegradable Endoluminal Stent[J].J Urol,2010,184(3):1197-1203.