后腹腔镜下离断肾盂成形术8例报告

Retroperitoneal laparoscopic dismembered anderson hynes pyeloplasty for the treatment of UPJO

目的探讨后腹腔镜下离断肾盂成形术的临床效果。方法采用后腹腔径路对8例确诊为肾盂输尿管连接部梗阻（UPJO）的患者行腹腔镜下离断肾盂成形术。结果8例手术均获成功，手术时间110～165min，平均130min；出血量30～90ml，平均55ml。术后住院7～15d，平均10d。术后有2例患者出现暂时性漏尿。术后随访3～6个月，肾积水较术前均有所好转，无再手术病例。结论后腹腔镜下离断肾盂成形术是治疗UPJO有效、安全、微创的治疗方法。

Objective To assess the feasibility and results of retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty in the treatment of ureteropelvic junction obstruction （UPJO）. Methods Eight cases with UPJO underwent retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty. Results All the operations had successed. The mean operating time was 130 minutes （range from 110 to 165 ） ,the mean blood loss was 55 ml （range from 30 to 90） and the mean postoperative hospitalization days was 10 days（ range from 7 to 15）. No open conversions were required Radiographic assessment by intravenous urography 3 - 6 months after the procedure showed good results. Conclusion Retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty is a safe and effective way to treat the UPJO while providing a minimally invasive procedure.