注射器针头引导下经腹壁双J管置入在完全腹腔镜下回肠新膀胱术中的应用  

Application of syringe needle guided transabdominal double-J tube placement in total laparoscopic ileal neobladder surgery

作　　者：席亮 袁顺辉[1] 韦海荣[1] 唐彬洋 郝左奇 XI Liang;YUAN Shunhui;WEI Hairong;TANG Binyang;HAO Zuoqi(Department of Urology,The Second Affiliated Hospital of Kunming Medical University,Kunming 650000,China)

机构地区：[1]昆明医科大学第二附属医院泌尿外科,云南昆明650000

出　　处：《现代泌尿外科杂志》2023年第6期497-499,505,共4页Journal of Modern Urology

基　　金：云南省科技厅科技计划(No.202101AY070001-144)。

摘　　要：目的探讨1.2 mm×35 mm TWLB注射器(薄壁长斜面刃角)针头引导下经腹壁双J管置入在完全腹腔镜下回肠新膀胱术中的应用。方法回顾性分析2020年12月-2022年1月昆明医科大学第二附属医院5例行完全腹腔镜下回肠新膀胱术患者的资料。在腹腔镜及肉眼直视下,取耻骨联合上3 cm作为穿刺点,刺入TWLB注射器针头建立通道,通过针头在导丝引导下行双J管置入。结果5例患者均在1.2 mm×35 mm TWLB注射器针头引导下成功置入输尿管支架,用时2~4 min,平均3 min。结论在1.2 mm×35 mm TWLB注射器针头引导下,经腹壁双J管置入在完全腹腔镜下回肠新膀胱术中可以保留原有操作通道、不破坏气腹,并且效果确切、简单可行、取材易得、安全有效并缩短手术时间,是完全腹腔镜下回肠新膀胱术中一种新的辅助手段。Objective To explore the application of 1.2 mm×35 mm thin walled,long oblique angle syringe needle guided double-J tube insertion through abdominal wall in total laparoscopic ileal neobladder surgery.Methods Clinical data of 5 patients undergoing total laparoscopic ileal neobladder surgery in our hospital during Dec.2020 and Jan.2022 were retrospectively analyzed.Under laparoscopy and direct vision,3 cm above pubic symphysis was taken as the puncture point,and an syringe needle was inserted to establish a channel.After that,a double-J tube was inserted under the guidance of the guide wire through the needle.Results The double-J tube was successfully implanted in all 5 patients.The time needed was 2-4 min,with an average of 3 min.Conclusion Under the guidance of a 1.2 mm×35 mm syringe needle,the placement of a double-J tube through the abdominal wall in total laparoscopic ileal neobladder surgery is safe,effective,simple and accurate.It can not only preserve the original operation channel without destroying the pneumoperitoneum,but also shorten the operation time.It is a new auxiliary means in total laparoscopic ileal neobladder surgery.

关 键 词：注射器针头 腹腔镜 回肠新膀胱术 双J管 膀胱癌 尿流重建 

分 类 号：R737.14[医药卫生—肿瘤]