摘要
目的:评价经腹腔途径行腹腔镜肾盂输尿管连接部狭窄肾盂成形术的可行性及临床价值。方法:回顾分析20位肾盂输尿管连接部狭窄患者在全麻下行经腹腔途径腹腔镜肾盂成形术的临床资料。结果:所有患者均成功完成手术,手术时间60~150min,平均90min,术中出血10~50ml,平均20ml,术后均顺利恢复,住院7~10d,平均8d,出院1个月后拔除双"J"管。术后随访6~24个月,无复发。结论:经腹腔途径行腹腔镜肾盂连接部狭窄肾盂成形术患者创伤小,术后康复快,明显优于开放手术,值得推广应用,但应严格掌握手术适应证。
Objective:To evaluate the feasibility and clinical value of transperitoneal laparoscopic ureteropelvic junction stricture pyeloplasty. Methods:The retrospective analysis was made on the clinical data of 20 patients with ureteropelvic junction stricture who received the laparoscopie pyeloplasty under general anesthesia. Results: All of the operations were successful, operative time was 60-150min,with an average of 90rain, blood loss was 10-50ml,with an average of 20ml,postoperative recovery was smooth,hospital stay was 7-10d,with an average of 8d. And the double-J stent was removed a month later,the patients were followed up for 6-24 months without recurrence. Conclusions:Transabdominal laparoscopic ureteropelvic junction stricture pyeloplasty is mini-invasive, more effective than traditional nnen sltr^erv with rapid recoverv,and should be generalized with strictlv controlled indication.
出处
《腹腔镜外科杂志》
2011年第2期138-139,共2页
Journal of Laparoscopic Surgery