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目的 :介绍和总结经腹膜后途径行腹腔镜下输尿管上段切开取石的初步体会和经验。方法 :对 10例输尿管上段结石的患者采取经腹膜后途径腹腔镜下行输尿管上段切开取石术 ,6例给予缝合输尿管切口 ,2例仅留置D -J管。结果 :早期 2例因为患者体型的肥胖和经验的不足中转为开放手术 ,其余 8、例均取得了成功 ,手术时间 10 0min～ 2 2 0min ,平均 14 0min。术后均恢复顺利出院 ,无并发症。结论 :采用经腹膜后途径的输尿管上段切开取石术是一种有效而微创的技术 ,适用于大部分需要手术的输尿管上段结石的病人
Objective: To introduce and summarize the experience and experience of transabdominal retroperitoneal laparoscopic removal of upper ureteral calculi. Methods: Ten patients with upper ureteral calculi underwent retroperitoneal laparoscopic ureterolithotomy. Six patients underwent suture ureter incision and two patients were treated with D-J tube only. Results: In the early two cases, because of the obesity and lack of experience in the patients, the patients were switched to open surgery. The rest eight cases were successful. The operation time ranged from 10 min to 220 min with an average of 14 0 min. Postoperative recovery were successfully discharged, no complications. CONCLUSIONS: Transabdominal ureterolithotomy with retroperitoneal approach is an effective and minimally invasive technique and is suitable for the majority of patients with upper ureteral calculi requiring surgery