经腹腔镜手术治疗输尿管结石20例报告

目的：探讨腹腔镜治疗输尿管结石的操作要点和经验.方法：采用经腹膜后途径腹腔镜技术行输尿管中、上段切开取石术16例,经腹腔途径行输尿管下段切开取石4例,术前均行体外冲击波碎石（ESWL）或输尿管镜下碎石（URSL）治疗失败;结石直径0.9～2.6 cm.结果：20例均获成功,手术时间30～95 min,平均51 min;术中出血量10～50 ml,平均24 ml;随访6个月,无并发症.结论：腹腔镜下输尿管切开取石术是安全有效的微创技术,输尿管下段切开取石经腹腔途径简单、易行.

Laparoscopic ureterolithotomy for treatment of ureteral calculi(Report of 20 cases)

Objective:To explore the surgical technique and experience of laparoscopic ureterolithotomy.Methods:16 cases with upper or midst ureter calculi were treated by laparoscopic ureterolithotomy,and 4 cases bilateral ureter calculi by retroperitoneal ureterolithotomy,ESWL,URSL was ineffective for all.The diameters of calculi ranged(0.9) to(2.6) cm.Detail of the procedure were presented.Results:All the stones were taken out,the operation time was between 30 and 95 min with a mean of 52 min.The intra-operative mean bleeding volume was 24 ml(range,10 to 50 ml);The complication was not observed duing the follow-up of 6 months.Conclusions:Laparoscopic ureterolithotomy for the treatment of ureteral calculi is miniinvisive,safe and effective.Bilateral ureter calculi treated by retroperitoneal ureterolithotomy is simple and easy.