中国内镜杂志2017，Vol.23Issue(3)：94-98,5.DOI:10.3969/j.issn.1007-1989.2017.03.019
六针缝合法在腹腔镜下插入式输尿管膀胱再植术中的应用
Inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture
张楠 1陈昆 1郭亮 1马曜辉 1葛雷 1郝朝辉 1韩前河 1胡建庭 1单中杰1
作者信息
- 1. 河南省郑州人民医院 泌尿外科,河南 郑州 450003
- 折叠
摘要
Abstract
Objective To discuss the safety and efficacy of inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture.Methods There was an retrospective analysis on operation videos and clinical data for 16 participants of inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture with the period from March in 2012 to September in 2015. And these were statistically analyzed including the operation time, intraoperative bleeding volume, postoperative drainage volume, removal time of drainage tube, admission time after operation and the incidence of postoperative complications of vesicoureteric reflux and stenosis.Results The operations of 16 participants were completed successfully without converting to open surgery. The operation time was 60 ~ 125 min (Mean time: 85 min); intraoperative bleeding volume was 20 ~ 50 ml (Mean volume: 32 ml); postoperative drainage volume was 60 ~ 400 ml (Mean volume: 106 ml); removal time of drainage tube was 3 ~ 6 d (Mean time: 4.2 d) and admission time after operation was 7 ~ 10 d (Mean time: 8.5 d). There was the follow-up with 6 ~ 18 months (Mean time: 12 months) for participants. No anastomotic stenosis was present. In addition, one participant was suffered from mild vesicoureteric relfux. And there was no aggravation during 18 months.Conclusions The inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture was safe and effective. It was found that the operation time was significantly shortened and the incidence of postoperative complications of vesicoureteric relfux and anastomotic stenosis was not increased. By contrast, the six-stitch suture could reduce the incidence of anastomotic stenosis.关键词
输尿管膀胱再植/腹腔镜/输尿管膀胱连接部梗阻/泌尿外科Key words
ureterovesical reimplantation/laparoscopy/distal ureteral stcture/urology分类
医药卫生引用本文复制引用
张楠,陈昆,郭亮,马曜辉,葛雷,郝朝辉,韩前河,胡建庭,单中杰..六针缝合法在腹腔镜下插入式输尿管膀胱再植术中的应用[J].中国内镜杂志,2017,23(3):94-98,5.
