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Laparoscopic aid in upper urinary reconstructive operation
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- Author:
- No author available
- Journal Title:
- NATIONAL MEDICAL JOURNAL OF CHINA
- Issue:
- 1
- DOI:
- 10.3760/j:issn:0376-2491.2006.01.013
- Key Word:
- 腹腔镜检查;输尿管梗阻;输尿管结石
Abstract： 目的探讨上尿路重建手术中应用腹腔镜辅助技术的方法及效果.方法对78例上尿路梗阻患者(其中肾盂输尿管连接部梗阻58例,输尿管上段息肉5例,输尿管上段狭窄2例, 输尿管上段结石13例),采用经腹腹腔镜下游离病变部位,然后经正对病变部位的套管针戳口,采用开放手术方式切除病变部位,行肾盂成形或输尿管端端吻合术.结果 78例手术均获成功.手术时间25～70 min,平均41 min;术中出血约15～30 ml,平均约21 ml.术中术后无并发症.71例获随访6～26个月,平均10.5个月.腰部胀痛消失,IVP检查吻合口均无梗阻,B超提示患肾积水减轻.结论在上尿路重建手术中采用腹腔镜辅助技术与开放手术相结合的方式避免了困难的腹腔镜操作,并不明显增加腹壁创伤,却可以明显缩短手术时间,保证吻合质量,值得临床推广应用.
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