摘要
目的:探索后腹腔镜肾盂输尿管切开取石术的方法。方法:采用后腹腔镜直视下肾盂输尿管切开取 石术治疗肾盂结石患者4例和输尿管中上段结石患者16例。结果:19例取石成功,1例失败改为开放手术。手 术时间平均89.7min,术中出血量平均98ml,术后住院时间平均5.8d。随访4~18个月,术后恢复正常工作时间 平均23.8d;术后输尿管狭窄1例。结论:后腹腔镜肾盂输尿管切开取石术是治疗肾盂和输尿管中上段结石的一 种安全、有效的微创手术方式,可取代部分开放性手术,具有推广价值。
Objective:The study the operation patterns of retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy for the treatment of the pelvic and ureteral calculi.Methods:Twenty cases of pelvic or ureteral calculi were enrolled.Results:Nineteen cases were successfully performed. The mean operation time was 89.7 min. The mean blood loss was 98 ml. The mean postoperative hospital stay was 5.8 d. Ureteric stricture was observed in one patient during the follow-up of 4~18 months.Conclusions:Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy is a safe, effective and minimally invasive procedure worthy of dissemination.
出处
《临床泌尿外科杂志》
2004年第12期723-725,共3页
Journal of Clinical Urology