Hand-assisted laparoscopic partial nephrectomy combined with caliceal ureterostomy for the treatment of post-traumatic ureteropelvic junction disruption.
Ureteropelvic junction (UPJ) disruption seldom occurs in patients with blunt abdominal trauma. The diagnosis of UPJ disruption is delayed in more than 50% of patients, and it can lead to difficulty in further treatment or increase the risk of nephrectomy. We present a 25-year-old man who was found to have left UPJ disruption 2 months after blunt abdominal trauma and who was successfully treated by partial nephrectomy combined with caliceal ureterostomy under hand-assisted laparoscopy. We review the literature and discuss the possible images to help early diagnosis of UPJ disruption. As a reconstructive procedure, caliceal ureterostomy under hand-assisted laparoscopy can be an effective and facilitated option.
Yang
Ching-Hwa
CH
Department of Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, R.O.C. uroy@mail.femh.org.tw
Chen
Kuo-Hsin
KH
D000007:Abdominal Injuries / Q000150:complications*; D000063:Accidents, Traffic; D000328:Adult; D006801:Humans; D007670:Kidney Calices / Q000293:injuries; D007682:Kidney Pelvis / Q000293:injuries*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014519:Ureterostomy / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications*