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  • Title: Hand-assisted laparoscopic partial nephrectomy combined with caliceal ureterostomy for the treatment of post-traumatic ureteropelvic junction disruption.
    Author: Yang CH, Chen KH.
    Journal: J Chin Med Assoc; 2009 May; 72(5):278-80. PubMed ID: 19467954.
    Abstract:
    Ureteropelvic junction (UPJ) disruption seldom occurs in patients with blunt abdominal trauma. The diagnosis of UPJ disruption is delayed in more than 50% of patients, and it can lead to difficulty in further treatment or increase the risk of nephrectomy. We present a 25-year-old man who was found to have left UPJ disruption 2 months after blunt abdominal trauma and who was successfully treated by partial nephrectomy combined with caliceal ureterostomy under hand-assisted laparoscopy. We review the literature and discuss the possible images to help early diagnosis of UPJ disruption. As a reconstructive procedure, caliceal ureterostomy under hand-assisted laparoscopy can be an effective and facilitated option.
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