检验医学与临床Issue(16)：2235-2237,3.DOI:10.3969/j.issn.1672-9455.2014.16.018
后腹腔镜输尿管切开取石术治疗复杂性输尿管上段结石
Retroperitoneal laparoscopic ureterolithotomy for complex upper ureteral calculi
欧平 1邓晓洪 1郑军 1王元中 1陈高亮1
作者信息
摘要
Abstract
Objective To evaluate the efficacy and surgical techniques of retroperitoneal laparoscopic uret-erolithotomy(RLU) in the trectment of complex upper ureteral calculi .Methods The clinical data of 33 cases(21 males and 12 females) of complex upper ureteral calculi patients who underwent RLU ,from March 2009 to August 2013 ,were retrospectively analyzed .Results All the 33 cases underwent RLU successfully .Operative time ranged from 60 to 150 min(mean ,90 .6 min) .The average volume of surgical blood loss was 32 mL ,ranged from 22 to 52 mL .During the operations ,we dealed with 15 cases of ureteral calculi complicated by ureteric polyps simultaneously . No serious complications were encountered .B ultrasound after 3 months of operation showed the hydronephrosis dis-appeared or observably reduced compared with the preoperative status .During the period followed 3-27 months ,ure-teral stricture or recurrent calculus had not been found .Conclusion RLU is safe ,effective and minimally invasive procedure .It may be considered as the first-choice treatment for patients with complex upper ureteral stones or the other experienced unsuccessful minimally invasive treatments .It can replace the conventional open surgery .关键词
后腹腔镜/复杂性输尿管上段结石/输尿管切开取石术Key words
retroperitoneal laparoseopy/complex upper ureteral calculi/ureterolithotomy引用本文复制引用
欧平,邓晓洪,郑军,王元中,陈高亮..后腹腔镜输尿管切开取石术治疗复杂性输尿管上段结石[J].检验医学与临床,2014,(16):2235-2237,3.
