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目的 介绍腹腔镜下快速输尿管切开取石术的技巧。 方法 2 0 0 2年 6月至 2 0 0 3年 1月应用三套管技术完成腹腔镜下输尿管切开取石术 4 2例 ,其中男 2 3例 ,女 19例 ;年龄 16～ 6 3岁 ,平均 4 2岁 ;左侧 2 6例 ,右侧 16例。 结果 手术均取得成功 ,手术时间 33～ 5 6min ,平均 4 3min ;失血2 0～ 5 0ml;术后住院时间 3～ 5d ,无 1例尿漏。随访 12～ 18个月 ,输尿管无狭窄 ,肾功能改善。 结论 合理的Trocar位置、准确的结石定位、锐性输尿管切开、良好的双J管引流和娴熟的缝合技术是腹腔镜下快速切开取石成功的关键。
Objective To introduce the technique of laparoscopic rapid ureterolithotomy. Methods Between June 2002 and January 2003, 42 patients undergoing laparoscopic ureterolithotomy were performed with three cannula techniques, including 23 males and 19 females, aged from 16 to 63 years , An average of 4 2 years old; left 26 cases, right 16 cases. Results All the operations were successful. The operation time was 33-56 minutes with an average of 43 minutes. The blood loss ranged from 20 to 50 ml. The postoperative hospital stay was 3 to 5 days with no case of urinary leakage. Follow-up 12 to 18 months, ureteral stricture, renal function improved. Conclusion The reasonable location of Trocar, accurate positioning of stones, sharp ureter incision, good double J tube drainage and skilled suture technique are the keys to success in laparoscopic rapid incision.