摘要
目的：探讨经腹腔行腹腔镜输尿管切开取石术的临床疗效及应用价值。方法：经腹腔行腹腔镜输尿管切开取石术治疗输尿管上段结石27例。经腹腔途径切开侧腹膜，找出输尿管上段结石后切开取出。结果：结石一次取净率100％，2例结石上移入肾盏，术中用纤维胆道镜取出。平均手术时间90min，平均失血45ml，平均住院时间6．5d。术后无大出血、尿漏、腹膜炎、肠粘连、肠梗阻等严重并发症发生。随访3～24个月，无输尿管狭窄和结石复发。结论：经腹腔行腹腔镜肾盂输尿管切开取石术具有镜下操作空间大，患者创伤小，康复快，住院时间短及并发症少等优点，是一种安全、有效、微创治疗榆尿管上段结石的方法。
Objective：To evaluate the clinical curative effect and practical value of laparoscopic transperitoneal ureterolithotomy. Methods：Twenty-seven cases who had upper urinary tract calculi were treated with transabdominal laparoscopic ureterolithotomy. The retroperitoneum was incised and the ureter was found. Laparoscopic ureterolithotomy was performed. Results ： The lithotomy successful ratio in the upper ureter was 100% （27/27）. Calculi of 2 cases moved upward into renal calices and were treated by choledochofiberscope. The mean operative duration was 90min, quantity of bleeding was 45ml and hospitalization was 6.2 days. No severe complications such as massive hemorrhage, urine leakage, peritonitis, intestinal adhesion or intestinal obstruction occurred. All cases were followed up from 3 to 24 months. No recurrence of calculus and ureteral stenosis was observed. Conclusions：Transabdominal laparoscopic ureterolithotomy provides the following noticeable characteristics：a large operation space, small damage, rapid recovery, short hospitalization and low complications. It is a mini-invasive, reliable and safe method to treat upper ureteral calculi.
出处
《腹腔镜外科杂志》
2008年第5期380-381,共2页
Journal of Laparoscopic Surgery
