對輸尿管狹窄個案行輸尿管重建手術之追蹤研究
張肇元, 吳維哲, 鍾旭東
亞東紀念醫院 外科部 泌尿科
Ureteral reconstruction for patient with ureteral stricture in more challenging situations
Chao-Yuan Chang, Wei-Che Wu, Shiu-Dong Chung
Divisions of Urology, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan

 Purpose:
The past decade had been a golden era of endourological treatment. However, there were still some challenging situation that might need more surgery. Compare to conventional endourologic approach, transureteroureterostomy is a alternative choice for obstructive uropathy.

Materials and Methods:
This is a retrospective study. We reviewed all patients underwent ureteral reconstruction from January of 2011 to October of 2016.  The etiology, operative, complication, and outcome data were analyzed.

Results:
Nine patients were treated by various methods of ureteral reconstruction in the department of urology for ureteral strictures. Total 6 of these patient had underlying malignancy with previous treatment. Ureterocystostomy was done by psoas hitch in 1 patient; ureteroureterostomy in 3; and transureteroureterostomy was treated for 2 patients. Patency of reconstructed ureter was 100% with at least 1 year of follow up.

Conclusion:
In this endourologic era, ureteroureterostomy and transureteroureterostomy still remain a feasible solution in more challenging cases.