摘要
目的:探讨马蹄肾并肾积水的腹腔镜手术治疗效果。方法:对3例马蹄肾并一侧肾积水患者,均经腹膜后入路行腹腔镜峡部离断,其中1例行Y-V式肾盂成形术,2例行离断式肾盂成形术。结果:3例腹腔镜手术均获成功,手术时间平均4 h,术中出血量平均80 ml,无术中及术后并发症发生。结论:通过腹腔镜手术治疗马蹄肾并肾积水是安全有效的微创治疗方法。
Objective： To discuss the surgical procedures of laparoscopic pyeloplasty in 3 cases of horseshoe kidney with hydronephrosis. Methods： All cases were performed via retroperitoneal approach. The laparoscopic procedures inclued identification of aberrant vessels, isthmus dissection and 1 case of “Y-V” pyeloplasty, 2 cases of dismembered pyeloplasty. Results： Retroperitoneal laparoscopic pyeloplasty was successfully performed on all the 3 patients, no complications occurred. The mean operative time was 4 hours; the mean estimated blood loss was 80ml. Conclusions： Retroperitoneal laparoscopic pyeloplasty to treat horseshoe kidney with hydronephrosis is effective.
出处
《临床泌尿外科杂志》
2008年第6期441-442,共2页
Journal of Clinical Urology
关键词
马蹄肾
肾积水
腹腔镜肾盂成形术
Horseshoe kidney
Hydronephrosis
Laparoscopic pyeloplasty
