Munch L C
Department of Surgery, University of Kentucky Medical Center, Lexington 40504, USA.
Tech Urol. 1996 Winter;2(4):225-9.
The treatment of ureteropelvic junction (UPJ) obstruction has evolved over the past several years with the implementation of endopyelotomy techniques and, more recently, hot wire balloon incision of the stenotic UPJ. Nonetheless, the long-term results suggest, at least for primary treatment, that none of the new techniques provide the long-term outcomes achieved with traditional open pyeloplasty techniques. I describe the technique of laparoscopic dismembered pyeloplasty, a possible bridge between the open and endoscopic approaches. Difficulties associated with laparoscopic reconstructive procedures are discussed as well as innovative developments that may overcome these problems and truly allow laparoscopic procedures to assume a more prominent role in urologic surgery.
在过去几年中，随着肾盂内切开术技术的应用，以及最近对狭窄的输尿管肾盂连接部（UPJ）进行热丝球囊切开术，UPJ梗阻的治疗方法不断发展。尽管如此，长期结果表明，至少对于初始治疗而言，没有一种新技术能达到传统开放性肾盂成形术所取得的长期疗效。我将介绍腹腔镜离断性肾盂成形术的技术，这是一种介于开放手术和内镜手术之间的可行方法。文中还讨论了与腹腔镜重建手术相关的困难，以及可能克服这些问题并真正使腹腔镜手术在泌尿外科手术中发挥更重要作用的创新进展。
