后腹腔镜下肾盂输尿管切开取石术34例  

Retroperitoneal laparoscopic ureterolithotomy: Report of 34 cases

作　　者：郁兆存[1] 熊林[1] 谭万龙[1] 齐桓[1] 彭红梅[1] 

机构地区：[1]南方医科大学南方医院泌尿外科,广州510515

出　　处：《中国微创外科杂志》2006年第6期465-466,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨后腹腔镜下肾盂输尿管切开取石术的临床疗效。方法对34例38侧中段(5侧)、上段(33侧)输尿管结石行腹腔镜经腹膜后径路肾盂输尿管切开取石术,结石大小(0.8 cm×1.0 cm)^(1.5 cm×3.0 cm),其中20例术前经体外冲击波碎石治疗失败。结果手术成功33例,中转开放手术1例(肾周广泛粘连,渗血较多)。手术时间45~190m in,平均85.5 m in,术中出血量10~50 m l,平均20.6 m l。术后住院3~7 d,平均4.3 d。34例随访3个月~2年,平均9.7个月,无中、远期并发症。结论后腹腔镜下肾盂输尿管切开取石术微创、简便、安全,值得临床推广应用。Objective To evaluate the clinical efficacy of retroperitoneal laparoscopic ureterolithotomy. Methods A total of 34 cases （38 sides） of middle （5 sides） or upper （33 sides） ureteral calculus were treated by retroperitoneal laparoscopic ureterolithotomy. The stones were （0.8 cm ×1.0 cm） - （ 1.5 cm ×3.0 cm） in size. Twenty cases had been previously treated by unsuccessful extracorporeal shock wave lithotripsy （ESWL）. Results The operation was successfully completed in 33 cases and a conversion to open surgery was required in 1 case because of extensive adhesion and blood oozing. The operating time was 45 - 190 rain （mean, 85.5 min）, the intraoperative blood loss was 10 - 50 ml （mean, 20.6 ml）, and the postoperative hospitalization, 3 - 7 d （ mean, 4.3 d）. Postoperative recovery was uneventful. No complication was observed during a 3 - 24 months （ mean, 9.7 months） of follow-up. Conclusions Retroperitoneal laparoscopic ureterolithotomy is micro-invasive, simple to perform, and safe.

关 键 词：输尿管结石 腹腔镜术 肾盂输尿管切开取石术 

分 类 号：R699[医药卫生—泌尿科学]