后腹腔镜下离断式肾盂成形术

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80~180m in,平均110m in;术中出血量30~90m l,平均50m l;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。

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

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.