摘要
目的 评价腹膜后腹腔镜输尿管切开取石术的临床价值。方法 2000年2月～2001年10月完成腹膜后经腹腔镜输尿管上段切开取石术10例,其中男4例,女6例,年龄28～59岁,平均41.3岁。结石大小为12mm～20mm,平均15.3mm。手术均经后腹腔路径进行。结果 除1例因结石滑入肾脏改开放手术,其余均获成功。手术时间40min～240min,平均110min。没有手术并发症发生,术后住院时间为5d-6d。结论 通过本组病例治疗我们认为腹腔镜经腹膜后腹膜后行输尿管中、上段切开取石术具有组织损伤小、术后恢复快的特点,适用于结石较大、ESWL治疗效果不好的病例。
Objective To evaluate clinical value of laparoscopic retroperitoneal ureterolithotomy in the management of ureteric calculi. Method From February 2000 to October 2001, laparoscopic retroperitoneal ureterolithotomy was performed in 10 patients (4 men, 6 woman) with an age range of 28-59 years (mean 41.3) The stone size ranged from 12 to 20 mm (mean 15.3}. The retroperitoneal route was used in all patients. Results The stone was successfully removed m nine patients. Only one patient was converted to open operation because the store migrate to rcnalpelvis. The operative time ranged from 40 to 240 minutes (mean 110 minutes). No operative complication occurcd. The post operative stay ranged from 5 to 6 days. Conclusions Laparoscopic rerroperitoneal ureterolithotomy has definite advantages over open ureterolithotomy. Furthermore, the more difficult a stone is for treatment by ESWL and cndourological techniques, the more suitable it is for laparoscopic removal.
出处
《现代泌尿外科杂志》
CAS
2002年第1期14-15,共2页
Journal of Modern Urology
