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腹腔镜输尿管切开取石术技术中的特殊注意事项。

Special considerations in the technique of laparoscopic ureterolithotomy.

作者信息

Bellman G C, Smith A D

机构信息

Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.

出版信息

J Urol. 1994 Jan;151(1):146-9. doi: 10.1016/s0022-5347(17)34897-8.

DOI:10.1016/s0022-5347(17)34897-8
PMID:8254797
Abstract

Laparoscopic ureterolithotomy was performed in 2 men, accompanied in 1 by unroofing of a complex renal cyst. This new technique is indicated as an alternative to open lithotomy when more conventional minimally invasive measures have failed and in patients in whom laparoscopy is being performed for another indication. Modifications in technique are necessary depending on the location of the stone. Laparoscopic ureterolithotomy should not be performed unless a guide wire or catheter can be placed past the stone preoperatively. The technique is described in detail.

摘要

两名男性接受了腹腔镜输尿管切开取石术,其中1例同时进行了复杂肾囊肿去顶术。当更传统的微创措施失败时,以及在因其他适应症而进行腹腔镜检查的患者中,这种新技术可作为开放取石术的替代方法。根据结石的位置,有必要对技术进行调整。除非术前能将导丝或导管置于结石远端,否则不应进行腹腔镜输尿管切开取石术。本文详细描述了该技术。

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