后腹腔镜下一期治疗肾盂、输尿管上段结石合并肾囊肿临床分析

目的探讨后腹腔镜一期治疗肾盂、输尿管上段结石合并肾囊肿手术方法和疗效。方法回顾2009年6月—2012年6月10例后腹腔镜一期行肾盂、输尿管上段切开取石和肾囊肿去顶术临床资料。10例中肾盂结石合并肾囊肿3例,输尿管上段结石合并肾囊肿7例。结果 10例手术均取得成功。手术时间55～160 min,平均80 min,出血量5～50 mL,平均10 mL。术后平均住院时间7(4～13)d。术后复查KUB及B超无囊肿及结石残留。结论后腹腔镜下治疗肾盂、输尿管输尿管上段结石合并肾囊肿,效果确切,创伤小,并发症少,值得临床推广应用。

Clinical analysis of retroperitoneal laparoscopy on the one-stage therapy of renal pelvic calculi or upper ureter calculi combined with renal cyst

Objective To discuss procedures and effect of retroperitoneal laparoscopy on the one-stage therapy of renal pelvic calculi or upper ureter calculi combined with renal cyst. Methods From June 2009 to June 2012,10 patients treated with retroperitoneoscopic py- elolithotomy（RPPL） or ureterolithetomy（RPUL） and retroperitoneal laparoscopie renal cyst were retrospectively analyzed：Among the 10 cases ,3 patients suffered from renal pelvic calculi combined with renal cyst ,7 patients suffered from upper ureter calculi combined with renal cyst. Results All the operations were successful. The mean operation time was 80 minutes（55 - 160 minutes）, the average blood loss was 10 mL（5 - 50 mL）, and the mean hospital stay was 7 days （4 N 13 days）after the operation. Post-operation KUB and ultrasonog- raphy showed that all the stones and renal cyst were removed. Conclusion Retroperitoneal laparoscopic on the one-stage therapy of re- nal pelvic calculi or upper ureter calculi combined with renal cyst is effective and less invasive with fewer complications. It is worthy of application in the clinical work.