后腹腔镜在治疗复杂性输尿管上段结石中的临床应用

Clinical Application of Retroperitoneal Laparoscopy in the Treatment of Complicated Upper Ureteral Calculi

目的:探讨经后腹腔途径行腹腔镜治疗复杂性输尿管上段结石的临床意义和操作方法。方法:回顾笔者所在医院2012年6月-2015年6月收治的68例经后腹腔途径腹腔镜下行复杂性输尿管切开取石术患者的临床资料。结果:66例手术顺利完成,2例患者因术中黏连严重,中转开放手术,无相关严重的术中术后并发症发生。结论:经后腹腔途径行腹腔镜下输尿管切开取石术是治疗复杂性输尿管上段结石安全有效的方法之一。

Objective： To investigate the clinical significance and operation methods of laparoscopic in the treatment of complicated upper ureteral calculi by retroperitoneal approach.Method： Clinical data of 68 patients with complicated ureteral calculi in the author＇s hospital from June 2012 to June 2015 were reviewed.Result： The 66 patients successfully completed surgery, 2 cases of patient because of severe adhesion, transit open surgery, no related severe intraoperative or postoperative complications.Conclusion ： Retroperitoneal laparoscopic surgery is one of the Safe and effective methods in the treatment of complicated upper ureteral calculi.