CAJ | 학술논문

目的探讨后腹腔镜下行输尿管复位矫正术治疗下腔静脉后输尿管的手术技术和临床效果.方法 9例采用后腹腔镜途径离断输尿管,于下腔静脉腹侧行端端吻合,恢复正常解剖关系.结果 9例手术均获成功,无中转开放手术.平均手术时间65min(42～125min),平均术中出血量62mL(20 ～115 mL),术后平均肠道功能恢复时间36h,术后无漏尿等围手术期并发症发生.平均随访时间9个月,复查B超与IVU,输尿管梗阻均明显缓解,无吻合口狭窄等远期并发症发生.结论后腹腔镜输尿管复位矫正术治疗下腔静脉后输尿管微创、安全、可行,可能成为下腔静脉后输尿管治疗的首选方法.
목적 탐토후복강경하행수뇨관복위교정술치료하강정맥후수뇨관적수술기술화림상효과.방법 9례채용후복강경도경리단수뇨관,우하강정맥복측행단단문합,회복정상해부관계.결과 9례수술균획성공,무중전개방수술.평균수술시간65min(42～125min),평균술중출혈량62mL(20 ～115 mL),술후평균장도공능회복시간36h,술후무루뇨등위수술기병발증발생.평균수방시간9개월,복사B초여IVU,수뇨관경조균명현완해,무문합구협착등원기병발증발생.결론 후복강경수뇨관복위교정술치료하강정맥후수뇨관미창、안전、가행,가능성위하강정맥후수뇨관치료적수선방법.
Objectives To investigate the surgical technique and clinical effect of retroperitoneal laparoscopic ureteroplasty in retrocaval ureter cases.Methods 9 cases were performed with transecting and repositioning the ureter to the inferior vena cava by retroperitoneal laparoscopic techniques.Results All 9 cases were successful without diverting.Mean operation time was 65 min(range from 42mL to 125min).Mean blood loss was 62 mL(range from 20mL to 115mL).No postoperative urine leakage was occurred.No ureter stenosis was found in follow-up (mean time 9 month) by sonography and IVU.Conclusions