Chúng tôi đã sử dụng cả 3 - 5 mm MicroEndoshears cho bước này. Bước này rất quan trọng để cho phép không gian phù hợp cho khâu đầy đủ độ dày chính xác và căng thẳng phát hành trên dòng khâu ngang. | 210 Sharp et al. may then be utilized to complete the endopyelotomy until healthy ureteral tissue is reached and opened for an additional centimeter. 2 Adequate mobilization of the distal ureteral lip is critical. We have utilized both the 3- and 5-mm MicroEndoshears for this step. This step is important to allow for adequate space for precise full-thickness suturing and releases tension on the horizontal suture line. REFERENCES 1. Motola JA Badlani GH Smith AD. Results of 212 consecutive endopyelotomies an 8 year followup. J Urol 1993 149 453-456. 2. Van Cangh PJ Wilmart JF Opsomer RJ et al. Long term results and late recurrence after endoreteropyelotomy a critical analysis of prognostic factors. J Urol 1994 151 934-937. 3. Gupta M Tuncay OL Smith AD. Open surgical exploration after failed endopyelotomy a 12 year perspective. J Urol 1997 157 1613-1618. 4. Bauer JJ Bischoff JT Moore RG Chen RN Iverson AJ Kavoussi LR. Laparoscopic versus open pyeloplasty assessment of objective and subjective outcome. J Urol 1999 162 692-695. 5. Oshinsky GS Jarrett TW Smith AD. New technique of managing ureteropelvic junction obstruction percutaneous endoscopic pyeloplasty. J Endourol 1996 10 147-151. 6. Desai MM Gill IS Carvalhal EF et al. Percutaneous endopyeloplasty a novel technique. J Endourol 2002 16 431-443. 7. Andreoni C Lin HK Olweny E Ovrby A Landman J Clayman RV. Evaluation of healing after elec-trosurgical endopyelotomy in a porcine model. J Endourol 2000 Supplement Abstract BS4-5 A13. 8. Streem SB Franke JJ Smith JA. Management of Upper Urinary Tract Obstruction In Campbell s Urology 8th Ed. Walsh PC et al. eds. Saunder s Philadelphia 2002 pp. 463-512. 9. Gill IS Desai MM Kaouk JH Wani K Desai MR. Percutaneous endopyeloplasty description of a new technique. J Urol 2002 168 2097-2102. 10. Desai MM Desai MR Gill IS. Percutaneous endopyeloplasty current clinical status. BJU Int 2005 95 106-109. 11. Desai MM Desai MR Gill IS. Endopyeloplasty versus endopyelotomy versus .
