腹膜后腹腔镜肾盂输尿管切开取石术(附八例报告)  

Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy for the treatment of pyelic or ureteral calculi (report of 8 cases)

作　　者：唐来坤[1] 蔡永葆[1] 陆立平[1] 郦俊生[1] 杨南京 李立[1] 潘良[1] 沙键[1] 杨银才[1] 江鱼[3] 

机构地区：[1]上海市徐汇区中心医院泌尿外科,200031 [2]上海市徐汇区长桥医院 [3]上海市仁济医院

出　　处：《中华泌尿外科杂志》2001年第7期417-418,共2页Chinese Journal of Urology

摘　　要：目的　介绍经腹膜后腹腔镜肾盂或输尿管切开取石及切口不缝合的术式经验。　方法　肾盂及输尿管结石患者 8例 ,病程 3个月～ 2年 ,结石直径 0 .8～ 2 .4cm。X线或B超标志定位 ,经膀胱插入输尿管支架管至结石处 ,水囊扩张腹膜后间隙 ,形成腹膜后操作空间 ,暴露输尿管。于结石处用输尿管刀切开肾盂或输尿管 ,取出结石 ,将输尿管支架推入肾盂。　结果　 8例手术均成功 ,手术时间 6 0～ 2 30min ,平均 115min。恢复顺利 ,随访 3～ 6个月 ,无并发症发生。　结论　经腹膜后途径腹腔镜肾盂或输尿管取石及切口不缝合 ,简化了操作程序 ,安全、有效。Objective To present 8 cases of retroperitoneal laparoscopic pyelolithotomy or ureterolithotomy for the treatment of pelvis and ureteral stone. Methods 8 cases of pelvis or ureteral stone have been treated by retroperitoneal laparoscopic pyelolithotomy or ureterolithotomy. The size of the calculi was 0.8～2.4 cm with the incarceration time of 3 months～2 years.Details of the procedure were presented. Results Success has been achieved in all the patients and no complication has been observed during the 3～6 months of follow up. Conclusions Retroperitoneal laparoscopic pyelolithotomy or ureterolithotomy for the treatment of pelvis or ureteral stone is simple ,safe,less traumatic and effective.

关 键 词：肾盂结石 输尿管结石 腹腔镜 外科手术 

分 类 号：R699[医药卫生—泌尿科学]