后腹腔镜下离断肾盂成形术8例报告

目的探讨后腹腔镜下离断肾盂成形术的临床效果。方法采用后腹腔径路对8例确诊为肾盂输尿管连接部梗阻(UPJO)的患者行腹腔镜下离断肾盂成形术。结果8例手术均获成功,手术时间110~165 min,平均130 min;出血量30~90 ml,平均55 ml。术后住院7~15 d,平均10 d。术后有2例患者出现暂时性漏尿。术后随访3~6个月,肾积水较术前均有所好转,无再手术病例。结论后腹腔镜下离断肾盂成形术是治疗UPJO有效、安全、微创的治疗方法。

Retroperitoneal laparoscopic dismembered anderson hynes pyeloplasty for the treatment of UPJO

Objective To assess the feasibility and results of retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty in the treatment of ureteropelvic junction obstruction （UPJO）. Methods Eight cases with UPJO underwent retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty. Results All the operations had successed. The mean operating time was 130 minutes （range from 110 to 165 ） ,the mean blood loss was 55 ml （range from 30 to 90） and the mean postoperative hospitalization days was 10 days（ range from 7 to 15）. No open conversions were required Radiographic assessment by intravenous urography 3 - 6 months after the procedure showed good results. Conclusion Retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty is a safe and effective way to treat the UPJO while providing a minimally invasive procedure.