腹膜后入路腹腔镜输尿管离断吻合术治疗腔静脉后输尿管

【摘要】 目的 介绍利用后腹腔镜输尿管离断成形术治疗腔静脉后输尿管的经验。方法2008年2月至2012年11月,11例腔静脉后输尿管患者于我中心接受了后腹腔镜输尿管离断吻合术,收集统计病例资料。结果 所有患者手术均于后腹腔镜下顺利完成,无1例中转开放手术,术中无出现下腔静脉等脏器损伤并发症,平均手术时间为119(85~160)分钟;术中平均出血量约为22(10~40)mL。随访结果显示患者肾积水情况有不同程度缓解。结论 后腹腔镜输尿管离断吻合术治疗腔静脉后输尿管是安全、有效的手术方法,手术时间短,患者术后恢复快、创伤小,可以作为此类疾病的首选治疗方案。

Retroperitoneal laparoscopic ureteroureterostomy for retrocavalureter

Objective To report our experience with retroperitoneal laparoscopic ureteroureter- ostomy for retroeaval ureter. Methods From February 2008 to November 2012, II patients underwent retroperitoneal laparoscopic ureteroureterostomy for retrocaval ureter. Perioperative and Follow-up data were collected. Results All operations were completed unevenfully, without intraoperative caval injury and conversion to open surgery. The mean operating time was 119 minutes （range 85-160）, the mean blood loss was 22 mL （range 10-40）. Hydronephrosis were relieved substantially after surgery. Conclusion Retroperitoneal laparoscopic y for retrocaval ureter is a safe and feasible minimally invasive treatment option for a retrocaval ureter with satisfactory result.