[1]高振利,石磊,王琳,等.改良腹腔镜肾盂成形术[J].中国微创外科杂志,2005,05(12):1044-1045.
　Gao Zhenli,Shi Lei,Wang Lin,et al.A modified laparoscopic pyeloplasty[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1044-1045.
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改良腹腔镜肾盂成形术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1044-1045
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
A modified laparoscopic pyeloplasty
作者:
高振利; 石磊; 王琳; 孙德康; 门昌平
青岛大学医学院附属烟台毓磺顶医院泌尿外科,烟台,264000
Author(s):
Gao Zhenli;  Shi Lei;  Wang Lin;  et al.
Department ofUrology, YuhuangdingHospital of Qingdao UniversityMedicalCollege, Yantai264000, China
关键词:
肾盂成形术; 输尿管梗阻; 腹腔镜
Keywords:
Pyeloplasty; 　Ureteral obstruction; 　Laparoscopy
分类号:
R699
文献标志码:
A
摘要:
目的探讨一种改良的腹腔镜肾盂成形术.方法肾盂输尿管连接部梗阻32例,经腹腔镜下游离肾盂及部分输尿管上段,然后扩大经肾盂输尿管连接部的切口至2.5～3 cm,采用开放手术方式进行肾盂输尿管成形操作.结果32例手术均获成功.术中证实肾下极异位血管压迫1例,原发管腔狭窄31例.手术时间40～70 min,平均52 min;术中出血量20～30 ml,平均23 ml.无手术并发症.27例随访7～15个月,平均9.6月,腰部胀痛消失,静脉肾盂造影(intravenous pyelography,IVP)检查吻合口均无梗阻,B超肾集合系统分离术前2.0～4.2 cm,平均2.8 cm,术后17例降至1.0～2.3 cm,平均1.5 cm,余10例无分离.结论改良的腹腔镜肾盂成形术简化了腹腔镜操作,缩短了手术时间,值得临床推广应用.
Abstract:
Objective　To discuss a modified laparoscopic pyeloplasty.　M ethods　A total of 32 patients presenting ureteropelvic junction obstruction underwent a modified laparoscopic pyeloplasty which included the dissection of the ureteropelvic junction under laparoscope and the pyeloplasty through an extended trocar- incision 2. 5~3 cm in length as open surgery did.　 Results　The operation was successfully completed in all the 32 patients. Intraoperative findings demonstrated renal inferior polar compression by ectopic blood vessels in 1 patientand primary ureteropelvic stricture in 31 patients. The operative timewas40~70 min (mean, 52 min) and the intraoperative blood losswas 20~30 ml (mean, 23 ml). No surgery-related complicationswere observed. Follow-up checkups in 27 patients for 7 ~15 months (mean, 9. 6 months) showed disappearance of lumbar distending pain. Intravenous pyelography revealed no anastomotic obstruction. In 17 patients presenting the separation of the renal collective system, B-ultrasonography revealed a decrease from 2. 0~4. 2 cm (mean, 2. 8 cm) preoperatively to 1. 0~2. 3 cm (mean, 1. 5 cm) postoperatively.　Conclusions　Themodified laparoscopic pyeloplasty simplifies the operation performance and shortens the operation time.

参考文献/References:

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[6]张旭,李宏召,马鑫,等.后腹腔镜离断性肾盂成形术(附22例报告).临床泌尿外科杂志,2003,18(12):707-708.

更新日期/Last Update: 2014-04-29