目的:分析开放与后腹腔镜手术治疗下腔静脉后输尿管的疗效。方法:本组11例中开放手术4例,应用传统的输尿管切断复位矫形术。腹腔镜手术7例,采用后腹腔径路,三个穿刺通道做输尿管切断、复位,移至下腔静脉前方,做端端吻合术。术后定期随访。结果:开放手术4例成功,无并发症。手术平均时间60min,术中平均出血量216m1。平均住院时间14.6d,术后平均康复时间51d。后腹腔镜手术7例均成功,无中转手术及并发症。平均手术时间110min,术中平均出血量45ml。平均住院时间7.1d,术后平均康复时间21.5d。结论:后腹腔镜手术治疗下腔静脉后输尿管疗效可靠,安全,较开放手术创伤小,康复快。 Objective: To analyze the curative effect of ureter after open and retroperitoneal laparoscopic surgery for inferior vena cava. Methods: Open surgery in 11 cases in this group in 4 cases, the application of traditional ureteral resection reduction orthopedic surgery. Laparoscopic surgery in 7 cases, the use of retroperitoneal path, the three puncture channel ureter, reset, move to the inferior vena cava anastomosis. Regular follow-up after surgery. Results: Open surgery in 4 cases without complications. The average operation time was 60 minutes, the average amount of bleeding during operation was 216m1. The average length of hospital stay was 14.6 days, and the average recovery time was 51 days. Laparoscopic surgery in 7 cases were successful, no transit surgery and complications. The average operation time was 110min, the average amount of intraoperative bleeding 45ml. The average length of hospital stay was 7.1 days, and the average recovery time was 21.5 days. Conclusion: Retroperitoneal laparoscopic surgery for the treatment of inferior ureteral ureter is reliable and safe, less invasive and faster recovery than open surgery.