重度肥胖者输尿管上段结石的后腹腔镜治疗  

Retroperitoneal Laparoscopic Ureterolithotomy for Upper Ureterolithiasis with Extremely Obese

作　　者：陈寅[1] 虞旗旗[1] 郑珉[1] 陈轶欣[1] 黄亚胜[1] 张骁[1] 汤群辉[1] 

机构地区：[1]浙江中医药大学附属杭州市中医院泌尿外科,杭州310006

出　　处：《中国中西医结合外科杂志》2010年第6期652-654,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：浙江省医学会资助项目(2007ZYC37)

摘　　要：目的：探讨通过后腹腔镜治疗重度肥胖者输尿管上段结石的安全性及可行性。方法：输尿管上段结石重度肥胖患者17例。全身麻醉,健侧卧位,行经腹膜后腹腔镜输尿管上段切开取石术。结果：17例手术均成功,手术时间50~90min平均75min。术后尿瘘1例,1周后愈合。随访3个月至18个月,无输尿管结石复发,肾积水较术前均有不同程度好转。结论：通过合理的手术入路与手术步骤,后腹腔镜治疗重度肥胖患者输尿管上段结石,是安全有效的。Objective To evaluate the safety and efficacy of retroperitoneal laparoscopic ureterolithotomy for patients with extremely obese. Methods Seventeen patients with upper ureterolithiasis and obesity, the body mass index （BMI） being 36.4 kg/m2 to 41.8 kg/m2 underwent retroperitoneal laparoscopic ureterolithotomy. Results The procedure was successful in all 17 cases. The operation time ranged from 50 min to 90 min （mean 75 min）. The blood loss ranged from 10 mL to 50 mL （mean 25 mL）. Postoperatively urine leakage in one case occurred and cured after 1 week. During the follow-up 3 to 18 months. B-ultrasonograph showed there was no upper ureterolithiasis relapsed. Conclusion Through a rational approach and careful procedures, retroperitoneal laparoscopic ureterolithotomy for upper ureterolithiasis with obese patients could be safe and effective

关 键 词：输尿管结石 后腹腔镜 重度肥胖 输尿管切开取石术 

分 类 号：R693.4[医药卫生—泌尿科学] R616.2[医药卫生—外科学]