腹腔镜肾盂输尿管上段切开取石术

Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy

目的探讨经腹腔镜肾盂输尿管上段切开取石术治疗肾和输尿管上段结石的临床价值和疗效。方法对72例（84侧）输尿管上段结石采用后腹腔镜治疗。结果70例顺利完成手术，2例改为开放手术。一侧手术时间72～136min，平均89min。出血量约15—60ml。术后1～4d拔除导尿管，7d拆线出院。结论后腹腔镜肾盂输尿管切开取石术具有损伤小、安全有效、可行和恢复快等优点，有良好的临床应用价值。

Objective To evaluate the clinical value and the treatment of ridding of upper urinal calculi by laparoscopy. Methods Carry out the treatment on 72 cases. Results 2 cases change the open surgery. 70 cases had successful surgery with a surgical time of 72 - 136 minutes, with the average of 89 minutes, the bleeding amount is about 15 -60 ml. After the operation, get rid of catheterization within 1 - 4 days, patients can be ehecked out within 7 days and completely cured. Conclusion Retroperitoneal laparoscopic pyelolithotomy or ureterolithotomy has advantages of being minimal invasive, safe and effective, postoperatively early resumption and shorter hospital stay. It has a good applied value in the urologic clinical practice.