摘要
目的:探讨腹腔镜Anderson-Hynes肾盂成形术的安全性和有效性。方法:回顾分析32例腹腔镜Anderson-Hynes肾盂成形术患者的临床资料。结果:32例手术均获成功,手术时间70~210min,平均130min,术中出血40~120ml,平均约80ml,术后6~9d出院,平均住院8d。术后6个月复查B超和静脉肾盂造影,31例患侧肾积水减轻或消失,肾盂输尿管连接部吻合口无狭窄、漏尿,肾盂输尿管排尿功能良好;1例出现再次狭窄,经手术治疗后痊愈。结论:腹腔镜Anderson-Hynes肾盂成形术患者创伤小,康复快,可取得与开放手术相同的疗效,是有效治疗肾盂输尿管移行处狭窄的微创方法。
Objective:To evaluate the effect and the surgical technique of transperitoneal laparoscopic Anderson-Hynes pyeloplasty. Methods:The clinical data of 32 cases with ureteropelvic junction obstruction(UPJO) underwent laparoscopic pyeloplasty were reviewed retrospectively. Results:The operations of 32 cases were successful. The mean operation time was 130 min(ranged from 70 to 210 min), blood loss was 80ml(ranged from 40 to 120ml), postoperation hospitalization was 8 days (ranged from 6 to 9 days). Ultrasonography and intravenous pyelography investigation showed less hydronephrosis in 31 cases. During 6 months follow-up, no stricture found in ureteropelvic junction of 31 cases. 1 case recurrence and sacculus vestibularis dilation was resorted. Conclusions:This method has advantages of minimally invasive, effective, safe in treatment of ureteropelvic junction obstruction.
出处
《腹腔镜外科杂志》
2009年第1期71-72,共2页
Journal of Laparoscopic Surgery