pyeloplasty

腎盂形成術

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/12/18 15:50:14」(JST)

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Pyeloplasty is the surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney. Most commonly it is performed to treat an uretero-pelvic junction obstruction if residual renal function is adequate.

Drawing of a swollen kidney that results from ureteropelvic junction obstruction

This revision of the renal pelvis treats the obstruction by excising the stenotic area of the renal pelvis or uretero-pelvic junction and creating a more capacious conduit using the tissue of the remaining ureter and renal pelvis.

There are different types of pyeloplasty depending on the surgical technique and patterns of incision used. These include the Y-V, Inverted 'U,' and Dismembered types of pyeloplasty. The dismembered type of pyeloplasty (called as Anderson-Hynes pyeloplasty) is the most common type of pyeloplasty. This was described in relation to retrocaval ureter (now renamed as preureteric vena cava). Another technique of pyeloplasty is Culp's pyeloplasty, in this method a flap is rotated from dilated pelvis to decrease narrowing of ureter.

A pyeloplasty can either be done by the robotic, open, or laparoscopic route.

UpToDate Contents

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• 1. 先天性腎盂尿管移行部閉塞 congenital ureteropelvic junction obstruction
• 2. 尿管ステントの留置およびマネージメント placement and management of indwelling ureteral stents
• 3. 開腹手術における切開 incisions for open abdominal surgery
• 4. 胎児水腎症の産後マネージメント postnatal management of antenatal hydronephrosis
• 5. 結核における腎疾患 renal disease in tuberculosis

English Journal

• EAU Guidelines on Robotic and Single-site Surgery in Urology.

• Merseburger AS, Herrmann TR, Shariat SF, Kyriazis I, Nagele U, Traxer O, Liatsikos EN.SourceDepartment of Urology and Urologic Oncology Medical School of Hanover (MHH), Hanover, Germany. Electronic address: Merseburger.Axel@mh-hannover.de.
• European urology.Eur Urol.2013 Aug;64(2):277-91. doi: 10.1016/j.eururo.2013.05.034. Epub 2013 May 25.
• CONTEXT: This is a short version of the European Association of Urology (EAU) guidelines on robotic and single-site surgery in urology, as created in 2013 by the EAU Guidelines Office Panel on Urological Technologies.OBJECTIVE: To evaluate current evidence regarding robotic and single-site surgery i
• PMID 23764016

• A new operative technique - Extra renal ureterocalycostomy for correction of PUJ obstruction in a horseshoe kidney.

• Ram AD, Hutton KA.SourceDepartment of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, UK. Electronic address: ashokdram@hotmail.com.
• Journal of pediatric urology.J Pediatr Urol.2013 Aug;9(4):527-30. doi: 10.1016/j.jpurol.2013.02.005. Epub 2013 Apr 21.
• The authors describe a novel operative technique in a child with PUJ obstruction in a horseshoe kidney, where a pyeloplasty was clinically indicated but unsafe because of insufficient length of ureter and predicted technical difficulty in transposing large renal vessels coursing to the renal hilum.
• PMID 23615123

• The 'double hitch' manoeuvre in laparoscopic pyeloplasty - Early experience.

• Cherian A, Nemade H.SourceDepartment of Paediatric Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK. Electronic address: abraham.cherian@gosh.nhs.uk.
• Journal of pediatric urology.J Pediatr Urol.2013 Aug;9(4):524-6. doi: 10.1016/j.jpurol.2013.01.011. Epub 2013 Feb 23.
• Intra-corporeal anastomosis in laparoscopic pyeloplasty is laborious, time consuming and challenging. 14 children underwent laparoscopic dismembered pyeloplasty using a three port, transperitoneal approach over a one year period in whom a novel approach ("double hitch" manoeuvre) (Group-2, n = 9)
• PMID 23462385

Japanese Journal

• 腎盂尿管移行部通過障害に対する腹腔鏡下腎盂形成術 (手術手技 泌尿器腹腔鏡手術 : もう一歩,ステップアップするために(8))

• 金山 博臣
• 臨床泌尿器科 68(1), 41-48, 2014-01
• NAID 40019946585

• 腎盂尿管移行部通過障害に対する腹腔鏡下腎盂形成術 : 経腹膜的Anderson-Hynes法の治療成績を向上させるためのコツ (手術手技 泌尿器腹腔鏡手術 : もう一歩,ステップアップするために(8))

• 岩村 正嗣
• 臨床泌尿器科 68(1), 31-37, 2014-01
• NAID 40019946576

• 腎盂尿管移行部通過障害に対する腹腔鏡下腎盂形成術 (手術手技 泌尿器腹腔鏡手術 : もう一歩,ステップアップするために(8))

• 野口 満,東武 昇平,佐藤 勇司 [他]
• 臨床泌尿器科 68(1), 23-28, 2014-01
• NAID 40019946541

Related Links

• Pyeloplasty, kidney surgery, uretero-pelvic junction (UPJ ...

Pyeloplasty is a kidney surgery to reconstruct a damaged ureter and the renal pelvis. ... Pyeloplasty is a kidney surgery to reconstruct a damaged ureter and renal pelvis. For adults the renal pelvis of the kidney and the ureters that ...

• Pyeloplasty | Define Pyeloplasty at Dictionary.com

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★リンクテーブル★

リンク元	「腎盂形成術」
拡張検索	「ureteropyeloplasty」「endopyeloplasty」「pelvic flap pyeloplasty」

「腎盂形成術」

　　[★]

英

pyeloplasty

同

腎盂尿管形成術 pyeloureteroplasty、尿管腎盂形成術 ureteropelvic plasty ureteropyeloplasty

関

腎盂尿管移行部狭窄症

腎盂形成術

• non-dismembered method：腎盂尿管の連続性を維持して形成

• spiralorvertical flap法：腎盂壁を利用して狭窄部に移植
• Culp-Scardino法：腎盂壁を利用して狭窄部に移植
• Y-V plasty：Y字型に切開、V字型に縫合して狭窄部を拡張させる

• dismembered method：腎盂尿管を切断して形成

• アンダーソン・ハイネス法 Anderson-Hynes method：健常部を含めて狭窄部(腎盂尿管移行部)を切除、縦切開を加えた尿管断端を腎盂切断端に吻合、漏斗部を形成

「ureteropyeloplasty」

　　[★] 腎盂形成術。尿管腎盂形成術

「endopyeloplasty」

　　[★] 内視鏡下腎盂形成術

「pelvic flap pyeloplasty」

　　[★] フラップ腎盂形成術