[1]郁兆存,熊林,谭万龙,等.后腹腔镜下肾盂输尿管切开取石术34例[J].中国微创外科杂志,2006,06(6):465-466.
　Yu Zhaocun,Xiong Lin,Tan Wanlong,et al.Retroperitoneal laparoscopic ureterolithotomy: Report of 34 cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):465-466.
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后腹腔镜下肾盂输尿管切开取石术34例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
465-466
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Retroperitoneal laparoscopic ureterolithotomy: Report of 34 cases
作者:
郁兆存; 熊林; 谭万龙; 齐桓; 彭红梅
南方医科大学南方医院泌尿外科,广州,510515
Author(s):
Yu Zhaocun;  Xiong Lin;  Tan Wanlong;  et al.
Department of Urology, Nanfang Hospital of Medical University of South-China, Guangzhou 510515, China
关键词:
输尿管结石; 腹腔镜术; 肾盂输尿管切开取石术
Keywords:
Ureteral calculus; 　Laparoscopy; 　Ureterolithotomy
分类号:
R693.+4
文献标志码:
A
摘要:
目的探讨后腹腔镜下肾盂输尿管切开取石术的临床疗效. 方法对34例38侧中段(5侧)、上段(33侧)输尿管结石行腹腔镜经腹膜后径路肾盂输尿管切开取石术,结石大小(0.8 cm×1.0 cm)～(1.5 cm×3.0 cm),其中20例术前经体外冲击波碎石治疗失败. 结果手术成功33例,中转开放手术1例(肾周广泛粘连,渗血较多).手术时间45～190 min,平均85.5 min,术中出血量10～50 ml,平均20.6 ml.术后住院3～7 d,平均4.3 d.34例随访3个月～2年,平均9.7个月,无中、远期并发症. 结论后腹腔镜下肾盂输尿管切开取石术微创、简便、安全,值得临床推广应用.
Abstract:
Objective　To evaluate the clinical efficacy of retroperitoneal laparoscopic ureterolithotomy.　M ethods　A total of34 cases (38 sides) of middle (5 sides) or upper (33 sides) ureteral calculus were treated by retroperitoneal laparoscopic ureterolithotomy. The stoneswere (0. 8 cm×1. 0 cm)~(1. 5 cm×3. 0 cm) in size. Twenty cases had been previously treated by unsuccessful extracorporeal shockwave lithotripsy (ESWL).　Results　The operation was successfully completed in 33 cases and a conversion to open surgerywas required in 1 case because ofextensive adhesion and blood oozing. The operating timewas45~190min (mean, 85. 5 min), the intraoperative blood losswas 10~50 ml (mean, 20. 6 ml), and the postoperative hospitalization, 3~7 d (mean, 4. 3 d). Postoperative recoverywas uneventfu.l No complicationwas observed during a 3~24months (mean, 9. 7months) of follow-up.　Conclusions　Retroperitoneal laparoscopic ureterolithotomy ismicro-invasive, simple to perform, and safe.

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更新日期/Last Update: 2014-01-27