【摘要】 目的探讨后腹腔镜肾盂输尿管切开取石术技术要点和临床疗效。方法采用后腹腔镜技术行肾盂输尿管切开取石术12例,其中6例ESWL史,2例输尿管镜手术史,4例为初诊病例;结石长径1.2~2.5cm,平均1.6cm。结果12例手术全部取石成功,手术120~180min,平均150min,术后无并发症,随访3~6个月,肾积水及肾功能均有不同程度好转,输尿管无狭窄。结论后腹腔镜下肾盂输尿管切开取石术安全有效,可部分取代开放手术,具有良好的临床应用前景。更多还原

【Abstract】 [Objective]To investigate the technical detail of retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy, evaluate its clinical effect.Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy was carried out in 12 patients. ESWL was ineffective in 6 patients and ureteroscopic lithotomy failed in 2 patients. 4 patients were primary procedures. The stone size ranged from 1.2 cm to 2.5 cm (mean 1.6 cm) with the incarceration time from 3 months to 2 years. All the operations were successful in the 12 patients. The operations took 120~180 min with a mean time of 150 min. During the follow-up period of 12 patients, there was no ureteric stricture or recurrent calculus found, and all patients, renal function had been improved. [Conclusions] Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy is a safe and effective minimally invasive procedure, it can take place of conventional open surgery in part. The surgical procedure will have a good prospect in the urologic clinical practice.更多还原