Indicación actual de la cirugía abierta en el tratamiento de la litiasis renal: Ureterocalicostomía como tratamiento definitivo de litiasis en mujer con patología recidivante

Ortiz, José Luis Miján; Guardia, Francisco Valle Díaz de la; Pacheco, Antonio Jiménez; Martín, Miguel Arrabal; Ocaña, Mercedes Nogueras; Gómez, Armando Zuluaga

doi:10.4321/s0004-06142009000300009

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…One patient experienced rapid stenosis but was successfully treated endoscopically, while another patient had a poor outcome and ultimately required nephrectomy. As reported by Mijan et al [ 28 ], UC has been found to be a viable treatment option for intrapelvic UPJO resulting from changes in the fusion, rotation, or location of the kidney. It can also be used for severe peripelvic fibrosis cases where previous pyeloplasty or renal surgery has been unsuccessful.…”

Section: Open Ureterocalicostomymentioning

confidence: 87%

Ureterocalicostomy for complex upper ureteral stricture: a narrative review of the current literature

Xie,

Wang,

Zeng

et al. 2024

Int Urol Nephrol

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Upper ureteral stricture is a relatively rare but increasingly encountered condition in clinical practice. While simple stricture can often be addressed through endoluminal treatment or surgical reconstruction, complex upper ureteral stricture poses challenges, particularly in patients with ureteropelvic junction obstruction (UPJO) or perirenal pelvic fibrosis and scarring resulting from previous surgeries. These cases present difficulties for traditional endoluminal and ureteral reconstruction treatments, posing a significant problem for many clinical surgeons. Our study involved a thorough search and comprehensive analysis of the existing literature on Ureterocalicostomy (UC). The literature indicates that UC is a safe and effective treatment for ureteral stenosis. By resecting the renal lower pole parenchyma, it is possible to achieve mucosal anastomosis between the calyceal and ureteral mucosa, leading to the restoration of normal urinary excretion. This technique has emerged as an alternative for treating complex upper ureteral strictures. However, there is a lack of direct comparative studies between open surgery and minimally invasive surgery. Our findings revealed a scarcity of relevant review documents, with most being case reports or retrospective studies conducted in single centers with small sample sizes. Therefore, it is crucial to conduct large-scale, multicenter prospective studies and long-term follow-up to validate the long-term efficacy of UC. This article reviews the development history of UC and focuses on a comprehensive discussion of its indications, surgical techniques, and complications.

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Section: Open Ureterocalicostomymentioning

confidence: 87%