【摘要】 目的:探讨经腹腔入路行腹腔镜输尿管切开取石术的技术要点及应用价值。方法:为20例患者行经腹腹腔镜输尿管切开取石术,术中游离输尿管,找到结石,纵行剪开输尿管壁取出结石,输尿管内留置双"J"管,用6-0可吸收线缝合切口2～3针,保留尿管及腹腔引流管。结果:20例手术均获成功,手术时间100～260min,平均(130±10)min,随访3～6个月,无并发症发生。结论:经腹腹腔镜输尿管切开取石术具有操作空间大、标志明显、安全、有效、患者创伤小、康复快等优点。更多还原

【Abstract】 Objective:To study the technical points and application value of laparoscopic transabdominal ureterolithotomy.Methods:Twenty cases were treated with transabdominal laparoscopic ureterolithotomy.Firstly,the ureter was separated to find the calculi,then the ureter was opened longitudinally and the stones were removed completely.The double-J tube was inserted in the ureter and the incision was sewed with 6-0 Absorbable suture 2-3 times.The urinary tube and the peritoneal drainage tube were retained.Results:The operations of 20 cases were successfully performed.The time of surgery was 100-260min,the mean operation time was(130±10)min.No complication was observed during the following 3-6 months.Conclusions:The laparoscopic ureterolithotomy through abdominal cavity is a valuable,safe and effective procedure with the advantages of minimally postoperative pain,expanse visual field,obvious mark and short recovery period.更多还原