腹腔镜经腹输尿管切开取石术(附16例报告)

目的介绍腹腔镜经腹输尿管切开取石新技术。方法腹腔镜经腹输尿管切开取石术１６例，平均年龄４３岁，结石直径０．４～１．８ｃｍ，平均滞留时间９个月，１１例经ＥＳＷＬ无效；经Ｂ超或Ｘ线标志结石定位，用带电的剪刀边凝边剪开后腹膜，暴露出输尿管，在结石上方用无损伤钳夹住输尿管，自制专用切开刀切开输尿管，取出结石，见尿液流出时缝合切口，同时在膀胱镜下将输尿管导管向上推入肾盂。结果１６例中１５例手术成功，成功率９４％，随访３～２２个月，无并发症发生。结论电视腹腔镜经腹输尿管切开取石术有效、可行，有一定的推广价值。

Endolaparoscopic ureterotomy for the treatment of ureteral calculi (reports of 16 cases)

Objective To present the new technique of endolaparoscopic ureterotomy for the treatment of ureteral stone. Methods 16 cases of ureteral stone have been treated by endolaparoscopic ureterotomy.The average age of the patients was 43,the size of the calculi 0.41.8cm with an average incarceration time of 9 months.ESWL has been failed in 11 of them.Details of the procedure were presented. Results Success has been achieved in 15 out of the 16 and no complication has been observed during the 322 months' followup. Conclusions Endolaparoscopic ureterotomy for the treatment of ureteral stone is safe,less traumatic and effective and is recommended especially when ESWL has failed.