Autotransplantacija bubrega zbog defekta gornjeg i srednjeg uretera nakon povrede pri ureteroskopiji

Mirko D. Jovanović; Predrag Marić; Vladimir Bančević; Radovan Milošević; Ivica Nikolić; Dejan Simić; Aleksandar Spasić; Novak Milović

doi:10.2298/VSP150728096J

Mirko D. Jovanović Military Medical Academy, Urology Clinic, Belgrade, Serbia.
Predrag Marić Military Medical Academy, Urology Clinic, Belgrade, Serbia.
Vladimir Bančević Military Medical Academy, Urology Clinic, Belgrade, Serbia; Univeristy of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Radovan Milošević Military Medical Academy, Urology Clinic, Belgrade, Serbia; Univeristy of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia.
Ivica Nikolić Military Medical Academy, Urology Clinic, Belgrade, Serbia.
Dejan Simić Military Medical Academy, Urology Clinic, Belgrade, Serbia.
Aleksandar Spasić Military Medical Academy, Urology Clinic, Belgrade, Serbia.
Novak Milović Military Medical Academy, Urology Clinic, Belgrade, Serbia; Univeristy of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP150728096J

Ključne reči: ureteroscopy||, ||ureteroskopija, iatrogenic disease||, ||jatrogena bolest, ureteral obstruction||, ||ureter, opstrukcija, kidney||, ||bubreg, transplantation, autologous||, ||transplantacija, autologna, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod. Hirurške komplikacije tokom i nakon ureteroskopskih procedura su retke, uglavnom su prolazne i ne zahtevaju posebne dodatne procedure. Međutim, velike komplikacije i pored male incidence (manje od 1–2%), mogu biti veoma ozbiljne i tu spadaju perforacija i avulzija uretera. Prikaz slučaja. U radu je prikazan bolesnik sa komplikovanom jatrogenom stenozom uretera koja se razvila nakon ureteroskopske procedure razbijanja kamena. Nakon brojnih hospitalizacija, pojave septičnog stanja sa retroperitonealnim apscesom i pokušaja endoskopskog i otvorenog hirurškog rešavanja, uspešno je urađena autotransplantacija bubrega. Zaključak. Ureteroskopske procedure imaju mali broj komplikacija, ali u slučaju avulzije ili perforacije uretera, u cilju očuvanja parnih organa, autotransplantacija bubrega je u prednosti u odnosu na druge metode rekonstrukcije uretera.

Biografija autora

Mirko D. Jovanović, Military Medical Academy, Urology Clinic, Belgrade, Serbia.

Dept of Urology

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