摘要
目的：总结后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的经验,探索乳糜尿的微创治疗新途径。方法：2005年1月至2008年12月我院经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿患者共9例,其中男7例,女2例,年龄38-60岁,平均48岁,8例手术成功,1例因肾蒂粘连较重改开放手术。观察了后腹腔镜手术的时间、术中出血量、术后并发症、术后住院时间及治疗效果。结果：手术时间65-105min,平均时间70min,术中出血约50-100ml,术后乳糜尿消失,随访2-24个月无复发,住院时间5-7d,无严重并发症。结论：经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿是一种安全有效的手术方法,术野清晰,淋巴管结扎可靠,具有损伤小、术后恢复快、住院时间短、并发症少等优点,值得推广。
Objective：To summarize the experience of retroperitoneoscopic renal pedicle lymphatic disconnection in the management of chyluria,and to investigate a new minimally invasive treatment of chyluria. Methods：9 cases of chyluria were treated by retroperitoneoscopic renal pedicle lymphatic disconnection from Jan 2005 to Dec 2008 with 7 male ones and 2 female ones. The average age was 48 years. 8 of 9 cases obtained success and 1 of 9 cases was converted to open surgery. Operation time, blooding volume, postoperative complication and hospitalization stay, and the operative effect were observed. Results：The operation time was from 65 to 105 min,with the average of 70 min. The blooding volume was from 50 to 100ml, with the average of 60ml. Chyluria disappeared immediately after operation in all patients. Postoperative stay was from 5 to 7d and no complication happened. Conclusion：Retroperitoneoscopic renal pedicle lymphatic disconnection for chyluria is a effective and efficienl method in the management of chyluria. And it is also safe , minimally invasive , with less blood loss, fewer complications , and short hospital stay .
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2009年第9期1213-1214,共2页
Journal of Chongqing Medical University
关键词
乳糜尿
腹腔镜
肾蒂淋巴管结扎术
Chyluria Retroperitoneoscopy Renal pedicle lymphatic disconnection
