CAJ | 학술논문

目的分析总结13例利用后腹膜腔在腹腔镜下治疗输尿管上段结石的体会.方法 2011年6月至2012年6月,我院利用后腹膜腔间隙,在腔镜下行输尿管上段切开取石术.全部病例均采用3孔法,球囊扩张建立腹膜后空间,二氧化碳气体充气维持空间压力.输尿管纵形切开取出结石,留置双J导管作支架内引流,可吸收缝线间断缝合输尿管切口.结果 12例手术成功,1例由于结石退缩回肾盏内改行开放手术.平均手术时间85 min(55～132 min),住院时间9～12 d.全部病例治愈出院,无尿漏、输尿管狭窄,无其他手术并发症出现.结论腹腔镜下治疗输尿管上段结石,安全、有效、创伤小,值得在临床中推广应用.
목적 분석총결13례이용후복막강재복강경하치료수뇨관상단결석적체회.방법 2011년6월지2012년6월,아원이용후복막강간극,재강경하행수뇨관상단절개취석술.전부병례균채용3공법,구낭확장건립복막후공간,이양화탄기체충기유지공간압력.수뇨관종형절개취출결석,류치쌍J도관작지가내인류,가흡수봉선간단봉합수뇨관절구.결과 12례수술성공,1례유우결석퇴축회신잔내개행개방수술.평균수술시간85 min(55～132 min),주원시간9～12 d.전부병례치유출원,무뇨루、수뇨관협착,무기타수술병발증출현.결론 복강경하치료수뇨관상단결석,안전、유효、창상소,치득재림상중추엄응용.
Objective To summary the therapy outcome of retroperitoneal laparoscopic treatment on upper ureteral calculi.Methods The retroperitoneal laparoscopic treatment were performed to all cases from Jun.2011 to Jun.2012 in our hospital.All cases were treated with 3-hold method (two 10 mm and one 5 mm ports).The retroperitoneal space was made by a combination of blunt and balloon dissection,and the space was maintained with CO2 Ureteral longitudinal incision was made to remove the stones,and double J catheter was served as stent drainage.Absorbable suture was used to suture ureteral incision.Results A retroperitoneal approach was performed in 12 patients,and another patient was conducted the open surgery because the stone cower in the kidney calices.Operative periods ranged from 55 to 132 min (average was 85 min).There were no significant postoperative complications.Conclusion It is a minimally invasive and effective approach in the therapy of upper urerteral calculi with laparoscopic.