Das S, Keizur J J, Tashima M
Department of Urology, Kaiser Permanente Medical Center, Walnut Creek, CA 94596.
Surg Laparosc Endosc. 1993 Dec;3(6):462-5.
End-stage renal disease secondary to vesicoureteral reflux often necessitates removal of the affected kidney and its refluxing ureter. Advances in laparoscopic techniques have made nephroureterectomy through the laparoscope possible in a minimally invasive way. We describe our surgical steps for laparoscopic nephroureterectomy in all 11-year-old girl with end-stage reflux nephropathy. Reduced trauma of surgical access, minimal postoperative morbidity, shorter hospital stay, and minimal scarring make laparoscopic nephroureterectomy a comparatively desirable surgical approach, especially in pediatric patients.
继发于膀胱输尿管反流的终末期肾病常常需要切除患肾及其反流的输尿管。腹腔镜技术的进步使得通过腹腔镜进行肾输尿管切除术以微创方式成为可能。我们描述了对一名患有终末期反流性肾病的11岁女孩进行腹腔镜肾输尿管切除术的手术步骤。手术入路创伤小、术后发病率低（并发症少）、住院时间短以及瘢痕小，使得腹腔镜肾输尿管切除术成为一种相对理想的手术方法，尤其是在儿科患者中。
