肾盂输尿管连接部梗阻；肾盂成形术；腹腔镜_

后腹腔镜下离断式肾盂成形术

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

肾盂输尿管连接部梗阻；肾盂成形术；腹腔镜,,肾盂输尿管连接部梗阻；肾盂成形术；腹腔镜,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【摘要】 目的：探讨后腹腔镜离断式肾盂成形术的临床效果。方法：腹腔镜下通过后腹腔途径对肾盂输尿管连接部(UPJ)狭窄5例患者行离断式肾盂成形术。结果：5例手术均获成功，手术时间80～180min，平均110min；术中出血量30～90ml，平均50ml;漏尿1例；术后住院8～15d，平均10d。术后随访1～12个月，UPJ吻合口无狭窄，肾积水改善。结论：后腹腔镜肾盂成形术微创，安全、效果好，值得推广。

    【关键词】 肾盂输尿管连接部梗阻；肾盂成形术；腹腔镜

    Retroperitoneal laparoscopic AndersonHynes dismembered pyeloplasty for the treatment of ureteropelvic junction obstruction

    WANG Rongjiang,WANG Shuo,SHAO Sihai,et al.

    Department of Urology,the First People's Hospital,Huzhou 313000,China;The First Affiliated Hospital of the Medical College of Zhejiang University

    【Abstract】 Objective:To investigate the clinical effect of retroperitoneal laparoscopic AndersonHynes dismembered pyeloplasty in the treatment of ureteropelvic junction(UPJ)obstruction.Methods:Retroperitoneal approach laparoscopic AndersonHynes dismembered pyeloplasty was performed in 5 cases with UPJ obstruction.Results:All operations were performed successfully.The mean operative time was 110 minutes(80180min),the mean blood loss was 50ml(3090ml).The mean postoperative hospitalization was 10 days(815days).Surgical complications included only 1 cases of urinary leakage.Followup a period of 1 to 12 months showed there was no stricture at UPJ hydronephrosis was remitted.Conclusions:Retroperitoneal laparoscopic AndersonHynes dismembered pyeloplasty has the advantages of minimal invasion,safe and high efficacy,which is worth further clinical application. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/07/13/02/81/19.htm

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