Kerbl K, Clayman R V, McDougall E M, Urban D A, Gill I, Kavoussi L R
Department of Surgery, Washington University School of Medicine, St. Louis, Mo. 63110.
Eur Urol. 1993;23(4):431-6. doi: 10.1159/000474648.
Six patients underwent laparoscopic nephroureterectomy as treatment for upper tract transitional cell cancer. Mean operative time was 7.29 h and mean postoperative hospital stay was 4.6 days. In all but 1 case, the cuff of the bladder was obtained using a laparoscopic 12-mm GIA tissue stapler. With follow-up out to 16 months, we have not encountered any complications due to the transvesical staples, such as urine extravasation, stone formation, urinary tract infection or abscess formation. Our initial clinical data indicate that laparoscopic nephroureterectomy, albeit a lengthy procedure, can be performed with minimal morbidity and a short post-operative hospital stay.
6例患者接受了腹腔镜肾输尿管切除术，作为上尿路移行细胞癌的治疗方法。平均手术时间为7.29小时，平均术后住院时间为4.6天。除1例患者外，其余所有患者均使用腹腔镜12毫米GIA组织吻合器获取膀胱袖口组织。随访至16个月，我们未遇到因经膀胱吻合钉导致的任何并发症，如尿液外渗、结石形成、尿路感染或脓肿形成。我们的初步临床数据表明，腹腔镜肾输尿管切除术虽然是一个耗时较长的手术，但可以在发病率极低且术后住院时间短的情况下进行。
