后腹腔镜切开取石术治疗嵌顿性输尿管上段结石的临床效果

Clinical Effect of Retroperitoneoscopic Ureterolithotomy for Incarcerated Upper Ureteral Calculi

目的:探讨后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石的临床效果。方法:2016年10月至2020年3月我院187例后腹腔镜输尿管上段切开取石术,178例为单侧输尿管结石,9例为双侧输尿管结石,结石直径为15~25 mm。结果:1例中转开放手术,其余186例均获成功,手术时间(62.3±22.1)min,术中出血量(30.2±5.3)mL,术后引流管拔除时间(4.6±3.2)d,9例术后出现尿漏。结论:后腹腔镜下输尿管上段切开取石术治疗输尿管上段嵌顿结石安全、有效,结石清除率高,是一种输尿管上段嵌顿结石治疗的有效途径。

[Objective]To evaluate the clinical of retroperitoneal laparoscopic ureterolithotomy for incarcerated upper ureteral calculi.[Method]From October 2016 to March 2020,187 cases of upper ureteral stones were treated in our hospital under retroperitoneal laparoscopic surgery,single ureteral calculi(n=178),multiple ureteral calculi(n=9).The stone size ranged from 13 to 25 mm.[Result]One case was converted into open operation and the remaining 186 cases were treated successfully with an operative duration of 62.3±22.1 min and volume of blood loss at(30.2±5.3)mL.The period of drainage tube was 4 days.Urinary leakage occurred in nine cases.[Conclusion]The retroperitoneal laparoscopic ureterolithotomy is safe and effective with high stone clearance rate.