腹腔镜“漂浮法”输尿管膀胱再植的临床应用  

"Floating",a simplified technique for laparoscopic ureteroneocystostomy

作　　者：杨玻[1] 范治璐[1] 

机构地区：[1]大连医科大学附属第二医院泌尿外科,辽宁大连116027

出　　处：《临床泌尿外科杂志》2008年第10期740-741,共2页Journal of Clinical Urology

摘　　要：目的:探讨腹腔镜"漂浮法"输尿管膀胱再植术的手术技巧和临床效果。方法:应用腹腔镜"漂浮法"输尿管膀胱再植术治疗7例输尿管下段梗阻患者。结果:全麻下经腹腔途径腹腔镜手术,游离输尿管,于梗阻上方切断,膀胱半充盈状态下侧后顶壁切开0.5～0.8cm,将输尿管内置双J管,拖入膀胱1.0～1.5cm,以可吸收线间断吻合输尿管浆肌层和膀胱全层。随访1.5～8.0个月,患肾积水消失。结论:改进后的腹腔镜下"漂浮法"输尿管膀胱再植术简便易行,效果可靠,易于临床应用推广。Objective：To evaluate the efficacy and feasibility of the technique of taparoscopic ureterovesical reimplantation. Methods：Seven patients with distal ureteral obstruction underwent transperitoneal laparoscopic ureterovesical reimplantation. The ureter was reimplanted into the bladder directly with the terminal “floating” in the cystis urinaria at 1-1.5cm length. The seromuscular wall of the ureter was anastomosed circumferentially to the bladder muscle layer by discontinuous suture. Results： All procedures were successfully performed without any intraoperative complications or immediate conversions to open surgery. At follow up ranging 1.5 to 8 months, Dopplar ultrasonography showed that the hydronephrosis disappeared. Conclusions： The “floating” technique for laparoscopic ureteroneoeystostomy is a simple, safe, and effective approach for distal ureteral obstruction.

关 键 词：腹腔镜 输尿管再植术 输尿管下段梗阻 

分 类 号：R572[医药卫生—消化系统]