摘要
目的:探讨经腹腹腔镜肾盂成形术联合肾镜碎石取石术一期治疗马蹄肾肾盂输尿管连接部狭窄(UPJO)合并肾结石的可行性和临床疗效。方法:2013年5月,我院采用经腹腹腔镜肾盂成形术联合肾镜碎石取石术一期治疗马蹄肾UPJO合并肾结石患者1例。具体方法是采用经腹腔入路,在腹腔镜下先分离出肾盂并切开,然后使肾镜通过腹腔镜穿刺通道进入肾盂肾盏行碎石取石术,再在腹腔镜下行离断式肾盂成形术。结果:手术过程顺利,手术时间180min。术后21小时肛门排气,5天后拔除腹腔引流管,10天后出院。术后3个月随访,肾盂输尿管连接部通畅,未发现明显结石残留。结论:经腹腹腔镜肾盂成形术联合肾镜碎石取石术一期治疗马蹄肾UPJO并肾结石安全、有效。
Objective.. To evaluate the feasibility and efficacy of transperitoneal laparoscopic pyeloplasty and concomitant nephroscopic lithotomy in management of ureteropelvic junction obstruction （UPJO） complicated by renal calculi in horseshoe kidney. Method： Transperitoneal laparoscopic pyeloplasty and concomitant nephroscopic lithotomy was performed in one patient with UPJO and renal calculi in horseshoe kidney at our institute on May, 2013. The operation began with dissecting the pelvis using a transperitoneal approach. After pyelotomy, nephros- copy was introduced to remove the renal calculi through the laparoscopic trocar. Subsequently, laparoscopic dis- membered pyeloplasty was performed. Result＇s The operation was managed successfully without conversion to open surgery. The postoperative data were as follows., the operation time was 180 min; bowel function recovered at 21 hours postoperatively; suction drain was removed on the fifth postoperative day; the patient was discharged on the tenth day. At the 3-month follow-up visit, the ureteropelvic junction was unobstructed, and no residual renal stone fragments were found. Conclusion：Transperitoneal laparoscopic pyeloplasty and concomitant nephroscopic lithotomy is a safe and effective technique, which is an alternative treatment for UPJO and renal calculi in horseshoe kidney.
出处
《临床泌尿外科杂志》
2014年第5期381-382,385,共3页
Journal of Clinical Urology
关键词
肾结石
肾盂输尿管连接部狭窄
马蹄肾
腹腔镜肾盂成形术
肾镜取石术
renal calculi
ureteropelvic junction obstruction
horseshoe kidney
laparoscopic pyeloplasty
nephroscopic lithotomy
