临床小儿外科杂志2018，Vol.17Issue(3)：219-222,4.DOI:10.3969/j.issn.1671-6353.2018.03.012
"输尿管拖出法"在腹腔镜离断式肾盂成形术中的应用研究
The applied study of"ureter pulls out technique"in laparoscopic dismembered Anderson-Hynes pyelo-plasty:a preliminary report
覃道锐 1唐耘熳 1王学军 1毛宇 1陈绍基1
作者信息
- 1. 四川省医学科学院四川省人民医院,电子科技大学附属医院小儿外科 四川省成都市,610072
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摘要
Abstract
Objective To evaluate the experience and result of the"ureter pulls out technique"in lapa-roscopic dismembered Anderson-Hynes pyeloplasty.Methods 15 patients(8 males and 7 females)were ret-rospectively reviewed between November 2015 and May 2016,who had been diagnosed with hydronephrosis and received laparoscopic dismembered Anderson-Hynes pyeloplasty.The operations were carried out under general anaesthesia.During the operation,the"ureter pulls out technique"was employed.The clinical data was recor-ded,including time consuming, blood lose, length of hospital stay after operation and complication. Results All 15 patients received laparoscopic ureteropyeloplasty,and"ureter pulls out techniques"were em-ployed during operations.All operations went smoothly without conversion record.Average time consuming:143min(range 116~244 min).Blood lose:5 mL(range 2~15 mL).A UVJO case was recorded for the un-successful seat of"double J"stent during operation.Average hospital stay length was 7 d(range 5~10 d). Ultrasonography study demonstrated a significantly relieve of hydronephrosis after operation for one month. Conclusion The"ureter pulls out technique"is safe and feasible in laparoscopic dismembered Anderson-Hynes pyeloplasty.The accurate haptic feedback can improve the positive detective ratio of the ureter distal le -sion;also improve the accuracy of treating UPJ,reducing the difficulty for beginners.It is worthy of clinical ap-plication.关键词
输尿管/肾盂积水/外科手术/腹腔镜Key words
Ureter/Hydronephrosis/Surgical Procedures/Operative/Laparoscopes引用本文复制引用
覃道锐,唐耘熳,王学军,毛宇,陈绍基.."输尿管拖出法"在腹腔镜离断式肾盂成形术中的应用研究[J].临床小儿外科杂志,2018,17(3):219-222,4.
