腹腔镜下输尿管切开取石术

目的 探讨腹腔镜下输尿管切开取石术的临床意义和初步经验。方法 从2002年6月～2003年6月作者共完成腹腔镜下输尿管切开取石术18例23侧 ,其中单侧13例 ,即左侧9例 ,右侧4例 ;双侧5例 ;上段结石15侧 (例 ) ,中段结石8侧 (例 )。结果 手术均取得成功 ,手术时间为55～156min,平均84min,失血20～50ML ,术后住院时间为3～5d(带导尿管出院 ) ,无尿漏 ,随访2月至1年 ,输尿管无狭窄。结论腹腔镜输尿管切开取石术创伤轻、痛苦少、恢复快 ,是治疗输尿管结石有效、可行的微创技术 ,可望替代开放输尿管切开取石术。

Objective The aim of this study is to introduce the technique of laparoscopic ureterolithotomy and to analyse the technique`s significances and primary experiences. Methods 18cases of ureterolithiasis treated by laparoscopic ureterolithotomy from2002.6to2003.6were analysed respectively. Results All operations were successful and mean time of operation was84min.Blood volume lost was20-50ml,and postoperative stay time was3-5d without urinary leakage. Conclusion Laparoscopic ureterolithtomy is the microinvasive technique and the alternative surgery to treat ureterolithasis.Accurate calculi finding,fine D-J tube drainage and skillful intra-abdomenal suturing are the keys to perform laparoscopic ureterolithotomy successfully.