闌尾補(bǔ)片聯(lián)合Boari膀胱肌瓣代輸尿管一期修復(fù)雙側(cè)輸尿管狹窄（“大家泌尿網(wǎng)”觀看手術(shù)視頻）

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One-stage repair of bilateral ureteral stricture by a combined Boari flap ureteroplasty and appendix graft ureteroplasty

XIAO Xingyuan，YU Qiuxuan

ABSTRACT：In recent years，ureteral repair and reconstruction techniques，such as appendiceal onlay flap，oral mucosal patch for repairing middle and upper ureteral stenosis，and Boari bladder muscle flap for repairing lower ureteral stenosis，have been continuously introduced and widely used to achieve satisfactory clinical results.In clinical practice，it is important to carefully select suitable patients and adequately prepare for the perioperative period. Factors to consider include the surgical approach，planning the sequence of left and right reconstruction，to ensure optimal results for ureteral repair. This paper provides a detailed account of our center＇s experience，reviews relevant literature on robot-assisted appendix graft ureteroplasty combined with Boari flap ureteroplasty for one-stage repair of bilateral ureteral strictures，and discusses the current clinical progress.

KEY WORDS：bilateral ureteral stricture；reconstructive surgery；robot-assisted surgery；appendiceal onlay flap ureteroplasty；Boari flap ureteroplasty；one-stage repair

摘要：近年來輸尿管修復(fù)重建技術(shù)不斷推陳出新，例如采用闌尾補(bǔ)片、口腔黏膜補(bǔ)片修復(fù)中上段輸尿管狹窄，Boari膀胱肌瓣修復(fù)下段輸尿管狹窄等手術(shù)技術(shù)均取得了滿意的臨床效果并得到廣泛應(yīng)用。（剩余7417字）