腹膜后腹腔镜输尿管切开取石术26例临床应用

Retroperitoneal laparoscopic ureterolithotomy for the treatment of ureteralcalculi(the report of 26 cases)

目的探讨腹腔镜手术在上段输尿管切开取石术中的应用。方法对2006年1月-2008年6月间完成的26例经腹膜后腹腔镜下输尿管上段切开取石术进行分析。结果26例手术均获得成功。手术耗时70 min￣190 min,平均130 mi。n术中出血量30￣10 ml,平均20 m。l肠功能恢复时间l8 h￣30 h。术后随访4个月￣6个月,平均5.2个月,恢复良好。结论腹腔镜能够安全有效地应用于上段输尿管切开取石术,且创伤小、恢复快、费用低。熟悉腹膜后间隙及输尿管解剖、熟练掌握操作技巧可缩短手术时间,减少并发症。

Objective To study the clinical application of retroperitoneal laparoscoic ureterolithotomy in ureteralcalculi. Methods A retrospective analysis was made on clinical reports of 26 cases of laparoscopic operations from January 2006 to December 2008. Results Success surgery had been performed in all the patients and no application had been observed during the 4～6 months of follow-up. The time of surgery was 70~190 min, average 130 min .The amount of bleeding ranged from30 to 10 ml and average was 20 ml. Functional recovery of bowels was 18 h-30 h. All patients were cured ,after 4 ～6 months fllow-up. Conclusion Retroperitoneal taparoscopic ureterolithotomy for the treatment of ureteral stone is simple, safe, less traumatic and effective.