四川医学2011，Vol.32Issue(1)：30-32,3.
后腹腔镜输尿管上段切开取石术
Retroperitoneal laparoscopic ureterolithotomy for proximal ureter stone
王东 1刘竞 1邱明星1
作者信息
- 1. 四川省人民医院泌尿外科,四川,成都,610072
- 折叠
摘要
Abstract
Objective To explore the indications operative techniques and the perioperative treatments of retroperitoneal laparoscopic ureterolithotomy.Methods From October 2008 to May 2010,102 patients with proximal ureter stone were streated by retroperitoneal laparoscopic ureterolithotomy.Retroperitoneal routine was adopted to all patients.To dissect the ureter on the surface of psoas, controlled the proximal ureter by forcep after verified the location of stone.Electric hook incised ureter and extracted the stone,indwelled double J in ureter,the ureter incision were colsed by 4-0 absorbable suture,indwelled drainage tube in retroperitoneal space( patients with kidney cyst were performed onroofing of the cyst at the same time).Results All the operations were performed successfully, the operative time was 65 minutes (ranged 45 to 130 minutes ), blood loss was 10 ～40ml, the stone clearance rates of 3 days were 100％.The drainage tube was extracted after postoperation 1 ～ 3 days,and the urine cather of 3 ～5 days, the postoperation hospitalization was 4 ～6 days (mean 5.6 days) , leakage of urine was observed in two female patients,5 days later, the patient was fully recovered by using negative aspiration.Postoperation 4 ～ 12 weeks, by using cystoscopythe to extract double J.During the follow-up of 3 ～ 6 months, any relative complications occured.Conclusion Retroperitoneal laparoscopic ureterolithotomy can treat several lesions simultaneously in a safe and effective way, it is an efficacious measure to treat proximal ureter stone.关键词
后腹腔镜/输尿管结石分类
医药卫生引用本文复制引用
王东,刘竞,邱明星..后腹腔镜输尿管上段切开取石术[J].四川医学,2011,32(1):30-32,3.
