自制寻针器在腹腔镜肾盂成形术中吻合针脱落并发症1例应用报道并文献复习

The application of self-made needle-seeking device for finding the needle fell off in the laparoscopic pyeloplasty and review literature

目的:探讨腹腔镜肾盂成形术中吻合针脱落并发症的处理对策。方法:对1例腹腔镜肾盂成形术治疗肾盂输尿管连接部狭窄术中吻合针脱落并发症的临床资料分析并文献复习。结果:1例腹腔镜肾盂成形术治疗肾盂输尿管连接部狭窄术中吻合针脱落,寻找困难,C型臂定位后,将自制寻针器置入腹腔后顺利寻及,无任何其他术中及术后并发症发生。结论:自制寻针器是寻找腹腔镜手术术中吻合针脱落的一种安全有效微创治疗的好方法,值得临床应用。

Objective:To deal with the treatment of finding the needle fell off in the laparoscopic pyeloplasty.Methods:The clinical data of 1case undergoing laparoscopic pyeloplasty in the treatment of ureteropelvic junction obstruction were analyzed and literature was reviewed.Results:The anastomotic needle was fell off which was difficult to find for the treatment of UPJO by laparoscopic pyeloplasty.Then,through X-ray C-type arm devicement localization and the self-made needle detector,the anastomotic needle was found successfully without any other intraoperative and postoperative complications.Conclusions:The self-made needle seeking device is a safe and effective minimally invasive measurement for laparoscopic surgery,which is worthy of clinical application.