【摘要】 目的　探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的手术方法和临床效果。　方法　6例患者。男 3例 ,女 3例 ;年龄 46～ 68岁。左侧 4例 ,右侧 2例。行后腹腔镜肾蒂淋巴管结扎术 ,观察手术时间、术中出血量、术后肠道功能恢复和术中术后并发症及手术效果。　结果　手术平均时间67min ,术中平均出血量 2 7ml,术后肠道功能恢复时间 2 4～ 48h ,术后当日乳糜尿消失 ,术后平均住院6.4d ,术中术后无明显并发症。随访 2～ 12个月 ,无复发。　结论　该术式具有微创、出血少、恢复快等特点 ,淋巴管结扎更加完全 ,近期效果良好更多还原

【Abstract】 Objective To evaluate the operation technique and the clinical efficacy of retroperitoneoscopic ligation of renal lymphatic vessels for the treatment of chyluria. Methods Six patients with chyluria,male 3 and female 3,46 to 68 years old,underwent retroperitoneoscopic ligation of renal lymphatic vessels.The operation time,blood loss,postoperative intestinal function recovery,complications during operation and the operative efficacy were observed. Results The average operation time was 67 min,the average blood loss 27 ml and the postoperative intestinal function recovery time 24 to 48 h.Chyluria disappeared on the day of operation.The average hospital stay after operation was 6.4 days.No complications occurred during operation.A follow-up of 2 to 12 months showed no recurrence. Conclusions This procedure was characterized by better complete ligation of renal lymphatic vessels and better short-term efficacy with little less trauma blood loss and quick recovery.更多还原