摘要
目的:探讨气膀胱腹腔镜输尿管前移术的安全性及有效性。方法:分析6例建立气膀胱行腹腔镜输尿管前移术患者的临术资料。结果:手术均获成功,手术时间70-140min,平均95min,出血量30—50ml,术后2d下床活动,术后1周拔导尿管,住院7-10d,平均7.8d,术后1个月膀胱镜下拔双“J”管,无尿漏发生。随访3-8个月,症状消失,B-us肾积水减轻,IVU吻合口无狭窄,膀眺造影无返流。结论:气膀胱腹腔镜榆尿管前移术是治疗输尿管下段狭窄、输尿管返流、输尿管囊肿、巨输尿管症安全有效的微创手术方式。
Objective:To evaluate the safety and efficiency of pneumovesical ureter forward transplantation via laparoscopy. Methods:6 cases underwent pneumoresical ureter forward transplantation via laparoscopy were analysized. Results: All the operations were completed successfully. The operation time was 70 to 140 rain( mean 95 min) ,blood loss was 30 to 50 ml. The post-operation hospitalization was 7 to 10 days( mean 7.8 days). The time to complete convalescence was 2 days. The double-J stent was removed after 1 month. The follow-up lasted 3 to 8 months, in all the case, hydroneprosis was relieved and no ureteral stricture and ureterovesical reflux found. Conclusions: Pneumovesical ureter forward transplantation via laparoscopy is a safe and effective methods for the minimal invasire treatment of primary ureterovesical junction striture, ureterovesical reflux,ureterocele and megaureter.
出处
《腹腔镜外科杂志》
2006年第1期45-46,共2页
Journal of Laparoscopic Surgery
关键词
气膀胱
腹腔镜
输尿管前移术
Pneumovesic
Laparoscopy
Ureter forward transplantation