摘要
目的探讨后腹腔镜输尿管切开取石术的技术要点及临床应用价值。方法回顾性分析后腹腔镜输尿管切开取石术79例。结果 2例术中改开放手术,余77例取石成功;手术时间65～150min,(平均90min),术中出血量30～60mL,(平均40mL)。术后无漏尿发生。58例获随访2～36个月,B超及IVU检查证实患者肾盂积水及肾功能好转,所有病例无输尿管切开处狭窄,结石无复发。结论后腹腔镜肾盂输尿管切开取石术效果确切,损伤小,患者术后恢复快,可部分取代传统的开放性输尿管切开取石术。
【Objective】 To evaluate the surgical techniques and clinical value of retroperitoneoscopic ureterolithotomy in treating renal ureteral calculus.【Methods】A retrospective study was accomplished on retroperi-toneoscopic ureterolithotomy treatment of 79 patients with ureteral calculi hospitalized from 2003 to 2008 in our department. 【Results】Of all the cases,77 patients underwent retroperitoneoscopic ureterolithotomy successfully,only 2 case converted to operation. The operation time was between 65 and 150 min with a mean 90 min,and estimated blood loss 30～60 mL with a mean of 40 mL No urinary leakage was found postoperatively. 58 cases gained the follow-up period of 2～36 months whose hydronephrosis and renal function improved via the examination of B-ultrasound and IVU. No ureteral stricture or recurrent calculi was found.【Conclusions】Retroperitoneoscopic pyeloithotomy and ureterolithotomy is safe,reliable and less invasive. It can gradually replace conventional open surgery in part.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第7期757-759,共3页
China Journal of Endoscopy
关键词
后腹腔镜
输尿管结石
retroperitoneoscopy
ureteral calculi
