[1]谭顺成 李炯明 刘建和 陈戬 姜永明 张劲松 闫永吉 王光.后腹腔镜肾盂离断成形术的手术方法改进：附视频[J].中华腔镜泌尿外科杂志(电子版),2015,(03):167-171.[doi:10.3877/cma.j.issn.1674-3253.2015.03.003 ]
　Tan Shuncheng,Li Jiongming,Liu Jianhe,et al.Improvement of operative techniques of retroperitoneal laparoscopic dismembered type anderson-hynes pyeloplasty[J].,2015,(03):167-171.[doi:10.3877/cma.j.issn.1674-3253.2015.03.003 ]
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后腹腔镜肾盂离断成形术的手术方法改进：附视频()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年03期
页码:
167-171
栏目:
临床研究
出版日期:
2015-12-29

文章信息/Info

Title:
Improvement of operative techniques of retroperitoneal laparoscopic dismembered type anderson-hynes pyeloplasty
作者:
谭顺成 李炯明 刘建和 陈戬 姜永明 张劲松 闫永吉 王光
650101 昆明，昆明医科大学第二附属医院泌尿外科三病区
Author(s):
Tan Shuncheng;  Li Jiongming;  Liu Jianhe;  Chen Jian;  Jiang Yongming;  Zhang Jingsong;  Yan Yongji;  Wang Guang.
关键词:
肾盂输尿管连接部梗阻; 手术; 腹腔镜
DOI:
10.3877/cma.j.issn.1674-3253.2015.03.003
摘要:
目的探讨自行设计的后腹腔镜肾盂离断成形术的临床疗效。方法 2008年 6月至 2013年 12月，昆明医科大学第二附属医院采用自行设计的手术方法，对 46例肾盂输尿管连接部梗阻（ UPJO）患者实施了后腹腔镜肾盂离断成形术，手术要点为首先确定肾盂裁剪的起止点，两点间剪断 2/3肾盂前后壁，剖开输尿管，肾盂最低点与输尿管最低点缝合，置入双 J管，切除需要裁剪的肾盂及狭窄段输尿管，间断行肾盂输尿管吻合。结果 46例手术全获成功，无中转开放手术。手术时间 80~150 min，平均（ 110±27）min。术中出血量 20~100 ml，平均（ 30±17）ml。术后无尿漏等并发症发生。随访 3~30个月， 43例（ 93.4%）肾积水明显改善。3例（ 6.5%）术后肾盂输尿管吻合口疤痕狭窄， 2例经球囊扩张治疗肾积水改善，1例仍留置双 J管。结论后腹腔镜肾盂离断成形术中，准确设计肾盂裁剪的范围、输尿管与肾盂最低位无张力对称性吻合以及精准的手术操作是有效缩短手术时间及保证手术疗效的重要前提。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：李炯明，Email：jiongmingli@aliyun.com
更新日期/Last Update: 1900-01-01