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目的介绍腹膜后腹腔镜肾盂成形术。方法采用后腹腔途径对5例确诊为肾盂输尿管连接部(UPJ)梗阻的患儿施行腹腔镜离断性肾盂成形术。结果5例手术全部成功,手术时间130~190min,术中出血20~50ml,术后3~24个月B超复查,手术侧肾积水基本消失,3例术后1年IVU检查UPJ吻合口无狭窄,肾盂输尿管排尿功能好。结论后腹腔镜离断性肾盂成形术是治疗UPJ梗阻有效、安全及微创的方法。
Objective To introduce retroperitoneal laparoscopic pyeloplasty. Methods Five patients with obstructed ureteropelvic junction (UPJ) obstruction underwent retroperitoneal laparoscopic laparoscopic pyeloplasty. Results All the 5 surgeries were successful. The operation time was 130 ~ 190min and the intraoperative bleeding was 20 ~ 50ml. After 3 ~ 24 months postoperative B-ultrasound, the hydronephrosis of the operation side disappeared. Three cases of postoperative IVU examination of UPJ anastomosis No stenosis, ureteropelvic micturition function is good. Conclusion Retroperitoneal laparoscopic pyeloplasty is an effective, safe and minimally invasive method for the treatment of UPJ obstruction.