后腹腔镜输尿管上段结石切开取石术：附69例报告
[Retroperitoneoscopic ureterolithotomy for upper ureteral calculus: 69 cases].
作者信息
Jiang Hongyi, Zhao Hongqing, Wu Hongtao, Zhu Liang, Zhao Xiaokun, Zhang Xuanzhi, Liu Ren
机构信息
Department of Urology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Aug;36(8):791-3. doi: 10.3969/j.issn.1672-7347.2011.08.017.
OBJECTIVE
To review the technical details of retroperitoneoscopic ureterolithotomy and evaluate the clinical effect.
METHODS
Between June 2004 and December 2008, 69 patients (55 males and 14 females) with upper ureteral calculus received retroperitoneal laparoseopic ureterolithotomy (40 left sides and 29 right sides). The stone size ranged from 1.5 to 3.1 cm [(2.2±0.6) cm].
RESULTS
All the patients underwent retroperitoneoscopic ureterolithotomy. The operation time was 40-295 (63.1±19.8) min,and the blood loss was 30-150 (57.2±23.0) mL.The hospital stay was 5-8 (6.7±1.3) d. During the followup, there was neither ureteral stricture nor recurrent calculus.
CONCLUSION
Retroperitoneoscopic ureterolithotomy is safe, effective and minimally invasive, which may replace the conventional open surgery.
目的
回顾后腹腔镜输尿管切开取石术的技术细节并评估其临床效果。
方法
2004年6月至2008年12月，69例上尿路结石患者（男55例，女14例）接受后腹腔镜输尿管切开取石术（左侧40例，右侧29例）。结石大小为1.5至3.1厘米[（2.2±0.6）厘米]。
结果
所有患者均接受后腹腔镜输尿管切开取石术。手术时间为40至295（63.1±19.8）分钟，出血量为30至150（57.2±23.0）毫升。住院时间为5至8（6.7±1.3）天。随访期间，未出现输尿管狭窄及结石复发。
结论
后腹腔镜输尿管切开取石术安全、有效且微创，可取代传统开放手术。
Zotero 插件