摘要
目的:探讨后腹腔镜输尿管切开取石术的技术要点和临床价值。方法:采用后腹腔镜完成31例输尿管中上段切开取石术,结石直径10～25mm。结果:31例手术全部成功,手术时间50～180min,平均100min,术中出血20～60ml,29例随访6～30个月,无中远期并发症。结论:后腹腔镜输尿管切开取石术是一种有效而微创的技术,随着技术的不断完善和普及,可基本取代常规的开放肾盂输尿管中上段切开取石术。
Objective：To evaluate the clinical role of retroperitoneoscopic ureterolithotomy in the treatment of mid-upper segment ureteral stones. Methods：Retroperitoneoscopic ureterolithotomy was performed in 31 cases, all with the diagnosis of mid-upper segment ureteral stones, stones diameters range 10-25 mm, the procedure is performed by exposing the ureter and making an incision at the place of the stone,the stone is then removed and the wound-incision is then sutured back. Results：All the 31 cases had successful surgery with a surgical time of 50- 180 min,with mean of 100min,and blood loss of about 20-60 ml,29 cases had regular follow up with ranging time of 6- 30 months, with no surgical complications. Conclusions： The results showed that retroperitoneoscopic ureterolithotomy is an efficient minimally invasive surgical technique,it will certainly and gradually replace the routine method of rend pelvic and mid-upper segment ureteral lithotomy.
出处
《临床泌尿外科杂志》
2006年第2期129-130,共2页
Journal of Clinical Urology
