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目的介绍利用后腹腔镜输尿管离断成形术治疗腔静脉后输尿管的经验。方法 2008年2月至2012年11月,11例腔静脉后输尿管患者于我中心接受了后腹腔镜输尿管离断吻合术,收集统计病例资料。结果所有患者手术均于后腹腔镜下顺利完成,无1例中转开放手术,术中无出现下腔静脉等脏器损伤并发症,平均手术时间为119(85~160)分钟;术中平均出血量约为22(10~40)mL。随访结果显示患者肾积水情况有不同程度缓解。结论后腹腔镜输尿管离断吻合术治疗腔静脉后输尿管是安全、有效的手术方法,手术时间短,患者术后恢复快、创伤小,可以作为此类疾病的首选治疗方案。
Objective To introduce the experience of retroperitoneal ureteroplasty in the treatment of ureter after posterior vena cava. Methods From February 2008 to November 2012, 11 patients with posterior ureterocele underwent retroperitoneal laparoscopic ureter disruption and anastomosis, and statistical data were collected. Results All the patients underwent laparoscopic surgery successfully. None of them underwent open surgery. No complications such as inferior vena cava injury occurred during operation. The average operation time was 119 (85-160) minutes. Mean intraoperative blood loss The amount of about 22 (10 ~ 40) mL. Follow-up results showed that patients with hydronephrosis have varying degrees of relief. Conclusions Retroperitoneal laparoscopic ureter anastomosis for the treatment of ureter after vena cava is a safe and effective surgical method. The operation time is short, the postoperative recovery is quick and the trauma is small. It can be the first choice of treatment for such diseases.