摘要
目的 探讨腹腔镜巨输尿管成形术方法 ,评估该术式的临床治疗效果。 方法 先天性梗阻性巨输尿管患者 6例 ,行腹腔镜巨输尿管成形术。腹腔镜下先游离扩张输尿管 ,在进入膀胱处切断 ,从皮肤戳口将输尿管拖出 ,进行裁剪、置入双J管 ,再将输尿管经戳口送入腹腔内 ,腹腔镜下吻合输尿管与膀胱。 结果 手术时间 2～ 4h ,出血 2 0～ 35ml,无并发症。术后 3个月拔除双J管 ,无发热及腰痛。术后随访 6个月至 2年 ,6例成形输尿管均无梗阻。 结论 结果表明 ,腹腔镜巨输尿管成形术治疗巨输尿管症损伤小、效果好。
Objective To describe the ureteroplasty of congenital obstructive megaureter by laparoscopy and to evaluate the efficacy and feasibility of laparoscopic intervention for congenital obstructive megaureter. Methods Six patients with congenital obstructive megaureter were prepared for the laparoscopic surgery.The surgical procedure was briefly described as follows.The dilated ureter was dissected and cut off near the ureter orifice to the bladder by laparoscopy.Next,the free ureter was pulled out through the skin trocar site and was tailored as open surgery.After that,the ureter was placed back to the abdominal cavity and reimplanted laparoscopically into the bladder. Results The operation duration was 2 to 4 h (mean 2.4 h) and blood loss was very little (20～35 ml).No complication developed.The double J stent was removed at 3 months after the operation.Follow-up for half to 2 years showed that all the ureter drainage in the 6 cases was well without any infection. Conclusions Our preliminary result shows that laparoscopic surgery is a safe and effective method for treatment of megaureter.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第7期442-444,共3页
Chinese Journal of Urology
