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机器人辅助腹腔镜上尿路修复手术:单一术者108例经验总结
程嗣达1,李新飞1,熊盛炜1,樊书菠1,王杰1,朱伟杰1,李子奡1,丁光璞1,俞婷2,李万强3,孙永明4,杨昆霖1,张雷1,郝瀚1,△(),李学松1,△(),周利群1
Robot-assisted laparoscopic upper urinary tract reconstruction surgery: A review of 108 cases by a single surgeon
Si-da CHENG1,Xin-fei LI1,Sheng-wei XIONG1,Shu-bo FAN1,Jie WANG1,Wei-jie ZHU1,Zi-ao LI1,Guang-pu DING1,Ting YU2,Wan-qiang LI3,Yong-ming SUN4,Kun-lin YANG1,Lei ZHANG1,Han HAO1,△(),Xue-song LI1,△(),Li-qun ZHOU1

图1. 肾盂瓣成形术(A~D)、舌黏膜补片修补术(E~H)及阑尾补片修补术(I~L)关键手术步骤

Figure 1. Key steps of spiral flap pyeloplasty (A-D), lingual mucosal onlay graft ureteroplasty (E-H) and appendiceal onlay flap ureteroplasty (I-L)
A, measurement of defect gap by scaled stent; B, spiral flap with 3 ∶1 ratio of length to width; C, first stitch between apex and lowest corner of ureterotomy; D, augmented anastomosis; E, measurement of defect gap by scaled DJ stent; F, mark on the ventral surface of the tongue; G, the harvested graft; H, anastomosis between lingual mucosal graft and ureter in an only fashion; I, measurement of defect gap by scaled DJ stent; J, transection of appendix from base and preservation of the mesoappendix; K, detubularization along the antimesenteric border; L, anastomosis between appendiceal graft and ureter in an only fashion.