A modified laparoscopic pyeloplasty
Author(s): GAO Zhenli, SHI Lei, WANG Lin, SUN Dekang, MEN Changping
Pages: 1044-1045
Year: 2005 Issue: 12
Journal: CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
Keyword: 肾盂成形术; 输尿管梗阻; 腹腔镜;
Abstract: 目的探讨一种改良的腹腔镜肾盂成形术.方法肾盂输尿管连接部梗阻32例,经腹腔镜下游离肾盂及部分输尿管上段,然后扩大经肾盂输尿管连接部的切口至2.5～3 cm,采用开放手术方式进行肾盂输尿管成形操作.结果32例手术均获成功.术中证实肾下极异位血管压迫1例,原发管腔狭窄31例.手术时间40～70 min,平均52 min;术中出血量20～30 ml,平均23 ml.无手术并发症.27例随访7～15个月,平均9.6月,腰部胀痛消失,静脉肾盂造影(intravenous pyelography,IVP)检查吻合口均无梗阻,B超肾集合系统分离术前2.0～4.2 cm,平均2.8 cm,术后17例降至1.0～2.3 cm,平均1.5 cm,余10例无分离.结论改良的腹腔镜肾盂成形术简化了腹腔镜操作,缩短了手术时间,值得临床推广应用.
Pages: 1044-1045
Year: 2005 Issue: 12
Journal: CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
Keyword: 肾盂成形术; 输尿管梗阻; 腹腔镜;
Abstract: 目的探讨一种改良的腹腔镜肾盂成形术.方法肾盂输尿管连接部梗阻32例,经腹腔镜下游离肾盂及部分输尿管上段,然后扩大经肾盂输尿管连接部的切口至2.5～3 cm,采用开放手术方式进行肾盂输尿管成形操作.结果32例手术均获成功.术中证实肾下极异位血管压迫1例,原发管腔狭窄31例.手术时间40～70 min,平均52 min;术中出血量20～30 ml,平均23 ml.无手术并发症.27例随访7～15个月,平均9.6月,腰部胀痛消失,静脉肾盂造影(intravenous pyelography,IVP)检查吻合口均无梗阻,B超肾集合系统分离术前2.0～4.2 cm,平均2.8 cm,术后17例降至1.0～2.3 cm,平均1.5 cm,余10例无分离.结论改良的腹腔镜肾盂成形术简化了腹腔镜操作,缩短了手术时间,值得临床推广应用.
Citations
- Retroperitoneal laparoscopic versus open pyeloplasty with a minimal incision: comparison of two surgical approaches Soulie M Urology
- Laparoscopic pyeloplasty.Indications, technique, and long - term outcome Chen RN Urol Clin North Am
- Extraperitoneal laparoscopic repair of ureteropelvic junction obstruction: initial experience in 15 cases Ben-Slama MR Urology
- Laparoscopic pyeloplasty Janetschek G Urol Clin North Am
- Cost-effective treatment for ureteropelvic junction obstruction: a decision tree analysis Gettman MT J Urol
- 后腹腔镜离断性肾盂成形术(附22例报告) 张旭 临床泌尿外科杂志
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