后腹腔镜半肾输尿管切除术治疗成人重复肾（附25例报告）  

Retroperitoneoscopic hemine phroureterectomy for the treatment of duplex kidney in adults （ report of 25 case ）

作　　者：李保军[1] 于洪波[1] 张斌[1] 李久明[1] 吴宏飞[1] 

机构地区：[1]南京明基医院泌尿外科南京医科大学附属医院,江苏210029

出　　处：《国际泌尿系统杂志》2013年第3期289-291,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨后腹腔镜半肾输尿管切除手术治疗成人重复肾的手术方法和临床效果。方法对2008年1月-2012年6月行后腹腔镜下重复肾切除术25例患者的治疗效果进行随访并总结分析。25例患者均术前行磁共振尿路水成（MRU）、静脉尿路造影（IVU）和B超确诊重复肾。结果25例手术均成功。手术时间70～220min，平均87min。术中出血量35—200mL，平均64mL。术后住院时间6～8d，平均6．5d。术中和术后未出现明显并发症。随访3～20个月，平均9个月。患者术前原有症状消失，下半肾功能良好。结论后腹腔镜重复肾切除术安全可靠，疗效良好，患者恢复速度快。Objectives To evaluate the technical feasibility and clinical efficacy of retorperitoneoscopic heminephroureterectomy for the treatment of adults with dupLex kidney. Methods A total of 25 patients under went retroperitoneal laparoscopic heminephroureterctomy for duplex kidney from Jan 2008 to Jun 2012. Of the 25 cases. 10 were male, 15 were female, the average age was 42.4 y（ 18 - 65 y）. Sixting duplex kidneys were on the left, 9 duplex kidneys were on the right, and 25 were on the upper pole. Twelve patients complained of blank pain, 3 came to our hospital for urinary incontinence,4 repeated urinary tract infection,6 were found hydronephrosis by routine physical examination. 25 were all diagnosed by MRU, IVU or B ultrasonic. Results All retroperitoneoscopic operations were performed successfully without. Conversion to open surgery. Mean operative time was 87 min（ range 55to108）. The mean blood loss was 64m1（ range 35 to 200 ）. Mean postoperative hospital stay was 6.5 days （ range 5 to 7 ）. Nointraoperative and postoperative complications occurred. Preoperative patients with original symptom disappeared and the function of the lower pole was well in all patients at a mean follow -up of 9months（3 to 20）. Conclusions Retroperitoneal laparoseopie heminephrouretereetomy for duplex kidney is effective and safe,and had good postoperative result.

关 键 词：肾 输尿管 膀胱镜 

分 类 号：R699[医药卫生—泌尿科学]