上尿道移行细胞癌以往采用经腰部和下腹部切口行肾、输尿管全切及膀胱部分切除术 ,手术损伤大(切口分别为 30 cm长 ) ,术后恢复慢 (1 0～ 1 5d出院 )。我科于 2 0 0 0年 3月对 1例左输尿管占位病变、左肾积水、肾功能减退患者采用腹腔镜、尿道电切镜行输尿管全切及膀胱袖套状切 Upper urethral transitional cell carcinoma has previously been performed with a total incision of the kidneys, ureters, and a partial cystectomy on the lumbar and lower abdomen incisions. The surgical lesions are large (incisions are 30 cm long) and postoperative recovery is slow (10 to 15 days after discharge). In March 2003, our department performed laparoscopic and urethral resection of the left ureter lesion, left hydronephrosis, and renal insufficiency.