腹腔镜Anderson-Hynes肾盂成形术(附32例报告)

Laparoscopic Anderson-Hynes pyeloplasty:with a report of 32 cases

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.