Adult metaplastic hutch diverticulum with robotic-assisted diverticulectomy and reconstruction:A case report
作者机构:Department of SurgeryDivision of UrologyTungs’Taichung MetroHarbor HospitalTaichung City 435403Taiwan
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2020年第8卷第20期
页 面:4895-4901页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:Diverticulum complications Urinary bladder abnormalities Diverticulum surgery Robotic surgical procedures methods Treatment outcome Case report
摘 要:BACKGROUND Hutch diverticulum arises from the compromised muscular development at the ureteral *** is a congenital disease and extremely rare in adult,only accounting for about 3%occurrence *** can be either symptomatic or asymptomatic,and relies on image tools for diagnosis and preoperative *** for surgery are dependent on the complications from the *** is about 10%among those with hutch diverticulum,and it still has chances turning into malignancy,especially urothelial cell *** SUMMARY A 27-year-old man was presented with frequently recurrent urinary tract infection for one year,and had suffered from intermittent right flank pain for 3 *** past medical histories were recorded *** obvious abnormalities on laboratory data and urine examination were *** ultrasound,right hydronephrosis was seen and an anatomical abnormality was observed on intravenous *** computed tomography urogram showed one diverticulum seated at superolateral side of right ureteral *** was done and biopsy results showed focal *** discussing with him,roboticassisted diverticulectomy with reconstruction was *** hydronephrosis was greatly improved after *** has completed his 1.5-year follow-ups,and no malignancies were seen from urine cytology and image of intravenous *** Robotic-assisted diverticulectomy and reconstruction to hutch diverticulum is a safe and efficient operation,providing several advantages over open and laparoscopic ones.