CAJ | 학술논문

目的：探讨腹腔镜下输尿管切开取石术的技术要点和临床效果。方法2003年6月～2013年10月，本研究完成腹腔镜下输尿管切开取石145例，左侧79例，右侧66例。输尿管上段结石93例，输尿管中段结石52例。术中应用观察镜直接分离法建立后腹腔，自创单支架管技术放置肾盂D-J管，5-0可吸收线缝合输尿管切口。结果手术均取得成功，无中转开放手术，手术时间为30～180min，平均67min，失血20～50ml，平均35ml，术后住院时间为3～7d，平均3．6d，随访2个月～10年，无输尿管狭窄、尿漏等并发症。结论腹腔镜输尿管切开取石术是治疗输尿管结石有效、可行的微创技术，是输尿管中上段结石手术治疗推荐术式。
목적：탐토복강경하수뇨관절개취석술적기술요점화림상효과。방법2003년6월～2013년10월，본연구완성복강경하수뇨관절개취석145례，좌측79례，우측66례。수뇨관상단결석93례，수뇨관중단결석52례。술중응용관찰경직접분리법건립후복강，자창단지가관기술방치신우D-J관，5-0가흡수선봉합수뇨관절구。결과수술균취득성공，무중전개방수술，수술시간위30～180min，평균67min，실혈20～50ml，평균35ml，술후주원시간위3～7d，평균3．6d，수방2개월～10년，무수뇨관협착、뇨루등병발증。결론복강경수뇨관절개취석술시치료수뇨관결석유효、가행적미창기술，시수뇨관중상단결석수술치료추천술식。
Objective To evaluate the key techniques and clinical value of retroperitoneal laparoscopy ureterolithot omy in trea -ting upper ureteric calculus .Methods The clinical data of 145 ureteral calculus patients treated by retroperitoneal laparoscopy ureterolithoto -my in our hospital from june 2003 to October 2013 were analyzed retrospectively ,including 79 cases left,66 cases right,93 cases upper ureter-al calculi,52 cases middle ureteral calculi .The retroperitoneal space was isolated and established through opening the machine of pneumoper -itoneum in the observation of endoscopic ,and single stent technology was used in the Place of D-J stent,5-0 absorbable line suture the inci-sion of ureter.Results All operation were successful,no conversion to open procedure.The operation time was 30~180min(mean,87min). The intraoperative blood loss was 10~50ml(mean,32.5ml).The postoperative length of hospitalization was 3~7 days.During the follow-up period from two months to ten yeas ,ureteric stricture and urinary leakage hadn't been found .Conclusion Retroperitoneal laparoscopy uret-erolithotomy is feasible and safe with the advantages of minimal invasion ,in the upper ureteral calculi surgery surgical treatment ,is recommen-ded operation approach in the middle and upper ureteral calculi of surgical treatment .