[1]甘伟,张少峰,贾洪涛,等.后腹腔镜治疗输尿管上段结石35例报告[J].中国微创外科杂志,2008,08(6):533-534.
　Gan Wei,Zhang Shaofeng,Jia Hongtao,et al.Retroperitoneal Laparoscopy for Upper Ureteral Calculi: Report of 35 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(6):533-534.
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后腹腔镜治疗输尿管上段结石35例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年6期
页码:
533-534
栏目:
出版日期:
2008-10-31

文章信息/Info

Title:
Retroperitoneal Laparoscopy for Upper Ureteral Calculi: Report of 35 Cases
作者:
甘伟; 张少峰; 贾洪涛; 谢胜; 罗茂华
郧阳医学院附属十堰市人民医院泌尿外科，十堰442000
Author(s):
Gan Wei;  Zhang Shaofeng;  Jia Hongtao;  et al.
Department of Urology, People’s Hospital of Shiyan, Yunyang Medical College, Shiyan 442000, China
关键词:
后腹腔镜技术; 输尿管上段结石
Keywords:
Retroperitoneal laparoscopy; Upper ureteral calculus
分类号:
R693+.4
文献标志码:
A
摘要:
目的探讨后腹腔镜输尿管上段切开取石术的可行性。方法采用后腹腔镜下输尿管切开取石术治疗输尿管上段结石35例。结果34例后腹腔镜下取石成功，1例因结石返回肾盂改开放手术。手术时间70～135 min，平均110 min。术中出血量20～55 ml，平均36 ml。无术后漏尿超过2 d。术后2~3 d拔除腹膜后引流管。术后住院时间6~10 d，平均7.8 d。术后1个月拔除双J管后B超复查，重度积水9例均较术前减轻，轻中度积水中17例消失、9例明显减轻。术后对于7例重度积水及11例轻中度积水进行2～6个月随访，B超复查均无结石复发，肾积水程度与术后1个月拔除双J管时无明显变化。结论后腹腔镜技术作为治疗输尿管上段结石可行，可作为开放手术或其他微创方法的替代或补充。
Abstract:
ObjectiveTo evaluate the feasibility of retroperitoneal laparoscopy for patients with upper ureteral calculi.MethodsA total of 35 patients with upper ureteral calculi were treated with retroperitoneal laparoscopy.ResultsThe operation was completed in all but one patient, who was converted to open surgery because the calculi moved into the renal pelvis. The operation time ranged from 70 to 135 minutes (mean, 110 minutes). Intraoperative blood loss was 20 to 55 ml (mean, 36 ml). No patient had over2day urine leakage. Retroperitoneal drainage tube was removed 2 to 3 days after the operation. The postoperative hospital stay ranged from 6 to 10 days (mean, 7.8 days). One month after the operation, when doubleJ catheter was removed, ultrasonography showed that 9 cases who had severe hydronephrosis before operation was relieved. In the 26 patients with mild or moderate hydronephrosis, the symptoms disappeared in 17, and were relieved in the other 9. Seven patients with severe hydronephrosis and 11 patients with mild or moderate hydronephrosis achieved a 2 to 6month followup, none of them developed recurrent calculi during the period. The severity of hydronephrosis in these patients was same to that determined one month postoperation.ConclusionsRetroperitoneal laparoscopy is feasible for patients with upper ureteral calculi. The method can be used as an alternative to open surgery of microinvasive operation.

参考文献/References:

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更新日期/Last Update: 2013-10-22