后腹腔镜治疗输尿管上段结石14例报告

Retroperitoneal laparoscopy for upper ureteral calculi

[目的]探讨后腹腔镜下输尿管切开取石术的适应症选择及手术技巧。[方法]回顾性分析输尿管上段结石14例的临床资料,男9例,女5例;左侧8例,右侧6例。均行后腹腔镜下切开取石术。[结果]14例均取石成功。手术时间40-105 min,平均55 min;术中出血20-90 mL,平均35 mL;术后随访2-10个月,均无结石复发及输尿管狭窄发生,肾积水明显好转。[结论]后腹腔镜下输尿管切开取石术作为ESWL、URL的补充治疗方法,安全,可靠。

【Objective】 To evaluate the selection of indications,surgical techniques of retroperitoneoscopic ureterolithotomy.【Methods】 A retrospective analysis was reviewed in 14 cases of upper ureteral calculi which were treated by retroperitoneal laparoscopic ureterolithotomy.【Results】 All operations were successfully completed.The operative time ranged from 40 to 105 min（mean,55 min）.The intraoperative blood loss ranged from 20 to 90 mL（mean,35 mL）.During the follow-up period（2 to 10 months） there was no ureteric stricture or recurrent calculus.【Conclusion】 Retroperitoneoscopic ureterolithotomy is a safe,reliable and minimally invasive.