摘要
目的:探讨腹膜后腹腔镜输尿管切开取石术的临床疗效。方法:对采用腹膜后腹腔镜手术治疗的28例输尿管中上段结石患者的资料进行分析。结果:28例手术均获成功,手术时间80～150min,平均115min,术中出血量20～60ml,平均35ml。术后住院5～7d。术中腹膜破裂2例,术后漏尿1例。26例随访3～18个月,无输尿管切开处狭窄及结石复发。结论:腹膜后腹腔镜输尿管切开取石术安全、有效、微创,值得临床推广应用。
Objective：To evaluate the clinical efficacy of retroperitoneal laparoscopic ureterolithotomy.Methods：The data of retroperitoneal laparoscopic ureterolithotomy performed in 28 patients with middle or upper ureteral calculus were analyzed.Results：All the operations were successfully.The operating time was 80-150min（mean 115min）.The intraoperative blood loss was 20-60ml（mean 35ml）.And the postoperative hospitalization was 5-7d.The intraoperative rupture of the peritoneum was encountered in 2 patients,and the postoperative urinary leakage in one patient.No complication was observed during a follow-up period for 3-18 months in 26 cases.Conclusions：Retroperitoneal laparoscopic ureterolithotomy is with the advantage of safety,minimal invasion and efficacy.
出处
《腹腔镜外科杂志》
2007年第5期402-403,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
输尿管结石
腹膜后
Laparoscopy
Ureteral calculus
Retroperitoneal
