Hu Qingfeng, Ding Weihong, Gou Yuancheng, Ho Yatfaat, Xu Ke, Gu Bin, Sun Chuanyu, Xia Guowei, Ding Qiang
Department of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, China ; Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai 200040, China ; Department of Surgery, Shanghai Medical College, Fudan University, Shanghai 200040, China.
ScientificWorldJournal. 2014;2014:687876. doi: 10.1155/2014/687876. Epub 2014 Dec 8.
To summarize our experience of retroperitoneal laparoscopic ureterolithotomy for ureteral calculi and evaluate the safety and efficiency of this procedure.
We conducted a retrospective analysis of 197 patients with proximal ureteral calculi who accepted retroperitoneal laparoscopic ureterolithotomy from June 2005 to June 2014.
All procedures were performed successfully and the mean operating time and estimated blood loss were 87 min and 64 mL. The clearance rate was 98.5% and the rates of urine leak and ureteral stricture were 2.5% and 1.0%.
Retroperitoneal laparoscopic ureterolithotomy is a safe and effective procedure for patients with complex stones or anatomic abnormalities, and, with experience of high volume series, it is also a reasonable choice as the primary treatment for such selected patients.
总结我们行后腹腔镜输尿管切开取石术治疗输尿管结石的经验，并评估该手术的安全性和有效性。
我们对2005年6月至2014年6月期间接受后腹腔镜输尿管切开取石术的197例近端输尿管结石患者进行了回顾性分析。
所有手术均成功完成，平均手术时间为87分钟，估计失血量为64毫升。结石清除率为98.5%，尿漏和输尿管狭窄发生率分别为2.5%和1.0%。
后腹腔镜输尿管切开取石术对于患有复杂结石或解剖异常的患者是一种安全有效的手术方法，并且在积累了大量病例经验后，对于此类选定患者作为首选治疗方法也是一个合理的选择。
