腹膜后入路腹腔镜输尿管离断吻合术治疗腔静脉后输尿管  

Retroperitoneal laparoscopic ureteroureterostomy for retrocavalureter

作　　者：刘皓[1] 董文[1] 张彩霞[1] 毕良宽[1] 姚友生[1] 林天歆[1] 许可慰[1] 江春[1] 韩金利[1] 黄海[1] 黄健[1] 

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科,广州510120

出　　处：《岭南现代临床外科》2013年第6期497-499,共3页Lingnan Modern Clinics in Surgery

基　　金：2012年国家重点专科建设项目

摘　　要：目的 介绍利用后腹腔镜输尿管离断成形术治疗腔静脉后输尿管的经验.方法 2008年2月至2012年11月,11例腔静脉后输尿管患者于我中心接受了后腹腔镜输尿管离断吻合术,收集统计病例资料.结果 所有患者手术均于后腹腔镜下顺利完成,无1例中转开放手术,术中无出现下腔静脉等脏器损伤并发症,平均手术时间为119（85～160）分钟;术中平均出血量约为22（10～40）mL.随访结果显示患者肾积水情况有不同程度缓解.结论 后腹腔镜输尿管离断吻合术治疗腔静脉后输尿管是安全、有效的手术方法,手术时间短,患者术后恢复快、创伤小,可以作为此类疾病的首选治疗方案.Objective To report our experience with retroperitoneal laparoscopic ureteroureter- ostomy for retroeaval ureter. Methods From February 2008 to November 2012, II patients underwent retroperitoneal laparoscopic ureteroureterostomy for retrocaval ureter. Perioperative and Follow-up data were collected. Results All operations were completed unevenfully, without intraoperative caval injury and conversion to open surgery. The mean operating time was 119 minutes （range 85-160）, the mean blood loss was 22 mL （range 10-40）. Hydronephrosis were relieved substantially after surgery. Conclusion Retroperitoneal laparoscopic y for retrocaval ureter is a safe and feasible minimally invasive treatment option for a retrocaval ureter with satisfactory result.

关 键 词：腹膜后入路 腹腔镜 输尿管离断吻合术 腔静脉后输尿管 

分 类 号：R693[医药卫生—泌尿科学]