摘要
目的探讨后腹腔镜输尿管切开取石术及处理输尿管并发病变的技术要点和疗效。方法用后腹腔镜技术行输尿管切开取石术31例,均为输尿管上段结石,左侧19例,右侧12例。结石最小12mm×10mm,最大18mm×15mm。结果31例手术均获成功,手术时间50～130min,平均58min;术中出血量平均20ml;肠功能恢复时间12～24h;术后无漏尿发生,3～4d拔除腹膜后引流管,术后住院7～9d;术后1个月经膀胱镜拔除双J管。随访31例2～20个月,超声及IVU检查证实患者肾盂积水及肾功能好转,所有病例输尿管切开处无狭窄,结石无复发。结论后腹腔镜输尿管切开取石术安全、有效,可同时处理继发性输尿管病变。
Objective To analyze the technical details and efficacy of retroperitoneal laparoscopic ureterolithotomy. Methods 31 patient underwent retroperitoneal laparoscopic ureterolithotomy. All the stones located in the upper ureter, being left in 19 cases, fight in 12cases. The stone sizes ranged 12 mm×10mm to 18 mm×15 mm. Results Retroperitoneal laparoscopic ureterolithotomy was sucessful in 93 patients. The mean operative time was 58 min （50-130 min）. The mean blood loss was 20 ml, the bowel activity was recovered in 12-24 hours after operation. No urinary leakage occurred. The neprostomy tubes were removed in 3-4 days afer operation. The mean hospitalization time was 7-9 days. The double ＂J＂ stent tube were removed after one month. With a 2-20 months follow-up, hydronephrosis and renal function were partly recovered. No ureteral stricture determined. No ureter stone recurrence. Conclusion Retroperitoneal laparoseopic ureterolithotomy is a safe and effective procedure. Some secondary ureteral disease can also be dealed with.
出处
《中华腔镜泌尿外科杂志（电子版）》
2009年第2期39-41,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
腹腔镜
输尿管结石
手术
Laparoscopie
Ureteral stones
Surgery
