后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿10例

目的总结后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的经验.方法10例患者,其中男5例,女5例;年龄30～61岁;左侧4例,右侧6例;10例均行后腹腔镜肾蒂淋巴管结扎术.观察手术时间、术中出血量、术中术后并发症及手术效果.结果手术时间70～120min,平均90 min,术中平均出血约70 ml;术后当日10例乳糜尿消失,3例患者术后出现肉眼血尿,3～5 d后消失.平均住院7.6 d.随访2～20月,无乳糜尿症状复发.结论后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿是一种安全、有效的方法,具有损伤小、恢复快、住院时间短、并发症少等优点,且结扎淋巴管较传统开放性手术彻底.

Retroperitoneoscopic ligation of renal lymphatic vessels for the treatment of chyluria

Aim To report our experience in retroperitoneoscopic ligation of renal lymphatic vessels for the treatment of chyluria.MethodsChyluria in the left renal pelvis and in the right renal pelvis was found in 4 cases and 6 cases,respectively.Ten patients with chyluria,male 5 and female 5,30~61years old,underwent retroperitoneoscopic ligation of renal lymphatic vessels.The operation time,blood loss,complications during operation and the operative efficacy were observed.ResultsOperative time ranged from 70 min to 120 min(mean time:90 min). Intraoperative blood losses were about 70 ml.Chyluria disappeared on the day of operation.Hematuria was found in 3 cases,but disappeared 3~5 days later.The average hospital stay after operation was 7.6 days. No chyluria recurrence was found during a follow-up of 2~20 months.ConclusionsRetroperitoneoscopic ligation of renal lymphatic vessels is a safe,effective surgical procedure with minimal invasion,fewer complications,rapid recovery,and short hospital stay.This procedure was characterized by better complete ligation of renal lymphatic vessels.