经腹腹腔镜输尿管切开取石术的临床应用(附20例报告)

The clinical application of transabdominal laparoscopic ureterolithotomy:with a report of 20 cases

目的:探讨经腹腔入路行腹腔镜输尿管切开取石术的技术要点及应用价值。方法:为20例患者行经腹腹腔镜输尿管切开取石术,术中游离输尿管,找到结石,纵行剪开输尿管壁取出结石,输尿管内留置双"J"管,用6-0可吸收线缝合切口2～3针,保留尿管及腹腔引流管。结果:20例手术均获成功,手术时间100～260min,平均(130±10)min,随访3～6个月,无并发症发生。结论:经腹腹腔镜输尿管切开取石术具有操作空间大、标志明显、安全、有效、患者创伤小、康复快等优点。

Objective：To study the technical points and application value of laparoscopic transabdominal ureterolithotomy.Methods：Twenty cases were treated with transabdominal laparoscopic ureterolithotomy.Firstly,the ureter was separated to find the calculi,then the ureter was opened longitudinally and the stones were removed completely.The double-J tube was inserted in the ureter and the incision was sewed with 6-0 Absorbable suture 2-3 times.The urinary tube and the peritoneal drainage tube were retained.Results：The operations of 20 cases were successfully performed.The time of surgery was 100-260min,the mean operation time was（130±10）min.No complication was observed during the following 3-6 months.Conclusions：The laparoscopic ureterolithotomy through abdominal cavity is a valuable,safe and effective procedure with the advantages of minimally postoperative pain,expanse visual field,obvious mark and short recovery period.