后腹腔镜脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿

Experiences in retroperitoneoscopic ligation of renal lymphatic vessels for the treatment of chyluria

目的探讨后腹腔镜下脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿手术方法和临床效果。方法15例患者均行后腹腔镜脂肪囊外肾蒂淋巴管结扎术。结果15例患者手术均成功，平均手术时间105min，术中出血量平均70ml。术后次日下床活动，未见明显的外科并发症。术后平均住院6．5d，出院时尿乙醚试验全部阴性，随访3～18个月无复发。结论该术式具有创伤更小，出血少，恢复快等优点，是目前治疗乳糜尿较理想的手术方式。

Objective To evaluate the surgical technique and clinical efficacy of retroperitoneoscopic ligation of renal lymphatic vessels outside adipose capsule for the treatment of chyluria. Methods Fifteen cases of chyluria recieved retroperitoneoscopic ligation of renal lymphatic vessels outside adipose capsule. Results All cases were successfully treated with retroperitoneoscopic management. The average operation time was 105 rain and the average blood loss was 70 ml. Patients got off bed on the 1st day after operation. No obvious surgical complications occurred. The average hospital stay after operation was 6.5 days. Chyluria of all 15 cases disappeared and no recurrence of chyluria was found during the follow-up of 3 months to 1.5 years. Conclusion Retroperitoneoscopic ligation of renal lymphatic vessels for the treatment of chyluria is an ideal surgical procedure with the advantages of minimal invasion, less blood loss and rapid recovery.