腹膜后腹腔镜技术治疗腔静脉后输尿管7例疗效观察

目的:探讨腹膜后腹腔镜技术治疗腔静脉后输尿管的效果和操作经验。方法:7例腔静脉后输尿管患者在全麻下接受了腹膜后径路腹腔镜下输尿管切断、复位、裁剪及输尿管再吻合术。总结分析相关临床资料。结果:手术均顺利完成,无中转开放手术。平均手术时间130min,术中平均出血约80ml。术后患者均恢复顺利,无明显术中、术后并发症。术后3个月及6个月随访显示输尿管梗阻明显改善。结论:腹膜后腹腔镜技术治疗腔静脉后输尿管微创、安全、有效,值得临床推广应用。

Laparoscopic surgeries with retroperitoneal approaches for seven cases with retrocaval ureter

Objective：To investigate techniques and experience of retroperitoneal laparoscopic ureteroureterostomy（LUUS）for patients with retrocaval ureter.Method：A total of seven patients with retrocaval ureter underwent retroperitoneal LUUS.Retroperitoneal approaches were used under general anesthesia.The ureters were cut,replaced and end-to-end anastomosis of the ureters were finally done.Some related clinical data were summarized and studied.Result：All operations were completed successfully without conversion to open surgery.The mean operative time was 130 minutes.The mean blood loss was 80 ml.All patients achieved an uneventful recovery.No intraoperative or postoperative complications occurred.At a follow-up of three and six months after discharge,remarkable improvement in the ureteral obstruction was observed.Conclusion：Retroperitoneal LUUS is a safe,effective and minimally invasive treatment for retrocaval ureter and it＇s worth applying clinically.