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目的探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的手术方法和效果。方法对13例乳糜尿病例行后腹腔镜肾蒂淋巴管结扎术。结果所有手术均获成功,无中转开放手术,平均手术时间90min(60～110min),平均术中出血量50ml(10～100ml),术后平均住院时间7.2d。随访术后1～30个月尿乳糜试验阴性。结论后腹腔镜肾蒂淋巴管结扎术除具有微创及出血少及恢复快等优势外,同时具有结扎更彻底、近期疗效好的优点,可完全替代开放手术,从而成为目前治疗乳糜尿的理想手术方法。
Objective To investigate the surgical method and effect of retroperitoneal laparoscopic renal pedicle lymphatic drainage in the treatment of chyluria. Methods Thirteen patients with chyluria underwent retroperitoneal laparoscopic lymphatic drainage. Results All the operations were successful. The average operation time was 90min (60 ~ 110min), the mean intraoperative blood loss was 50ml (10 ~ 100ml) and the average postoperative hospital stay was 7.2d. Follow-up 1 to 30 months after urine chylous test negative. Conclusions Laparoscopic renal pedicle lymphatic ligation not only has the advantages of minimally invasive and less bleeding and faster recovery, but also has the advantage of more complete ligation and good short-term efficacy, which can completely replace open surgery and become the ideal for the treatment of chyluria Surgical methods.