后腹腔镜配合经皮肾盂镜治疗输尿管结石合并肾结石:附2例报告

Retroperitoneal laparoscopic surgery combined with ureteroscopic lithotomy for treatment of renal and ureteral calculi

目的探讨后腹腔镜配合经皮肾盂镜治疗输尿管结石合并肾结石的可行性。方法后腹腔镜配合经皮肾盂镜治疗输尿管结石合并肾结石2例。术中暴露满意,手术时间分别为70、80min,术中出血约20ml。结果结石全部取出,术后恢复快,无并发症。结论后腹腔镜配合经皮肾盂镜治疗输尿管结石合并肾结石安全有效。

Objective To evaluate the feasibility of retroperitoneal laparoscopic surgery combined with ureteroscopic lithotomy through the pelvis for treatment of renal and ureteral calculi.Methods In February 2010,2 patients with renal and ureteral calculi underwent retroperitoneal laparoscopic surgery combined with ureteroscopic lithotomy through the pelvis.Results The operation time in these two cases was 70 and 80 min,and the volume of intraoperative blood loss was about 20 ml.The exposure was excellent,and the patient recovered rapidly without complications or residual calculi.Conclusion Retroperitoneal laparoscopic surgery combined with ureteroscopic lithotomy through the pelvis is feasible for treatment of renal and ureteral calculi.