【摘要】 目的:探讨后腹腔镜下输尿管上段切开取石术的技术要点及临床价值。方法:采用后腹腔镜技术行输尿管上段切开取石术25例,其中20例有ESWL失败史,结石直径8~20mm。结果:25例手术全部成功,手术时间55~130min。术中出血20~60ml。术后仅1例漏尿,术后2~3天拔除腹膜后引流管,术后平均住院7~8天,随访半年无特殊并发症。结论:经后腹腔镜输尿管上段切开取石术作为微创泌尿外科的手术方法,具有结石清除率高,手术出血量小,并发症少,术后恢复快,住院时间短等优势。更多还原

【Abstract】 Objective:To evaluate the technical points and clinical role of retroperitoneal laparoscopic ureterolithotomy for upper ureteral calculi.Methods:Retroperitoneal laparoscopic ureterolithotomy was performed in 25 patients with upper ureteral calculi,20 of 25 patients had treated with extracorporeal shock-wave lithotripsy(ESWL) but not succeeded.The diameter of calculi ranged from 8mm to 20mm.Result:All the 25 patients successfully underwent retroperitoneal laparoscopic ureterolithotomy.The operative time was 55 min to 130 min,estimated blood loss was 20 to 60ml.only one urine leakage after surgery.the retroperitoneal drainage tube was removed at 2 to3 days after operation.the hospital stayranged from 7 to 8 days.in 6 months follow-up time no special complication was found.Conclusions:Retroperitoneal laparoscopic ureterolithotomy for upper ureteral calculi,with advantages of clearance rate high,minimal invasive,blood loss,quick recovery.更多还原