中国内镜杂志2012，Vol.18Issue(2)：176-179,4.
经腹腔膀胱内途径腹腔镜下输尿管膀胱再植术的临床应用(附8例报告)
Clinical application of transperitoneal laparoscopic ureteral reimplantation via vesical approach(report of 8 cases)
李南南 1陈湘 1齐琳 1何垚 1陈志 1罗延诚1
作者信息
- 1. 中南大学湘雅医院泌尿外科,湖南长沙410008
- 折叠
摘要
Abstract
[ Objective ] To evaluate the technical feasibility and clinical efficacy of transperitoneal laparoscopic ureteral reimplantation via vesical approach. [ Methods ] The 8 cases (3 males and 5 females) of ureterovesical obstruction (left, 7 and right, 1) who underwent transperitoneal laparoscopic ureteral reimplantation via vesical approach, 6 cases had been diagnosed to have simple congenital ureter outlet stricture, 1 ureteral stones patient was found ureter orifice stricture after ureteroscopic holmium laser lithotripsy, 1 with urinary TB had left ureter orifice stricture after right nephrectomy. B-ultrasound and FVU showed severe hydro-nephrosis in 5 cases, and moderate in 3. [Results] The operation was performed successful in all cases. The operative time was 90-140 min (mean, 112 min) and the blood loss was 30-60 mL (mean, 40 mL). The drainage tubes were removed after 1~3 d without urine leakage, and the urinary catheters were removed 2 weeks after surgery. The mean hospital stay was 8d (range, 7-10 d). The double-J stents were removed 2~3 months after operation. The patients were followed up for 3-12 months. B-ultrasound, IVU and MRU showed no anastomotic stricture and remission of hydro-nephrosis (moderate in 2 cases and resolution in 6). Cystography showed no reflux in all cases during follow-up. [ Conclusions ] Transperitoneal laparoscopic ureteral reimplantation via Vesical Approach is a safe and effective procedure with minimal invasion,fewer complications, quicker recovery, better anti-reflux effect, and has better value for clinical application and popularization.关键词
腹腔镜/输尿管下段狭窄/输尿管膀胱再植Key words
laparoscopy/ distal ureteral stricture/ ureteral reimplantation分类
医药卫生引用本文复制引用
李南南,陈湘,齐琳,何垚,陈志,罗延诚..经腹腔膀胱内途径腹腔镜下输尿管膀胱再植术的临床应用(附8例报告)[J].中国内镜杂志,2012,18(2):176-179,4.
