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目的:探讨后腹腔镜肾盂输尿管切开取石术的临床应用价值。方法:回顾性分析2001年11月～2008年12月完成后腹腔镜肾盂输尿管切开取石术312例患者的临床资料:男178例,女134例。年龄25～82岁,平均45.3岁。左侧162例,右侧150例。全部采用三孔法于后腹腔内完成手术。结果:301例均顺利找出肾盂输尿管,切开取出结石。其中中转开放手术11例,占3.53%。手术时间最长189 min,最短67 min,其中从手术开始到取出结石最长40 min,最短10 min,平均25 min。术中出血最多150 ml,最少10 ml。平均住院6～8天,全组无死亡患者。随访3～24个月,未出现特殊并发症。结论:采用后腹腔镜进行肾盂输尿管切开取石术,视野清晰,解剖清楚,失血少,创伤小,恢复快,并发症少,临床应用前景广阔。
Objective: To investigate the clinical value of retroperitoneoscopic ureteropelvic lithotripsy. Methods: The clinical data of 312 patients with laparoscopic ureteropelvic lithotomy completed from November 2001 to December 2008 were retrospectively analyzed. There were 178 males and 134 females. Aged 25 to 82 years, mean 45.3 years old. 162 on the left and 150 on the right. All three-hole method in the abdominal cavity to complete the operation. Results: 301 cases were successfully identified ureteropelvic, incision and removal of stones. Including open surgery in 11 cases, accounting for 3.53%. The longest operation time was 189 min and the shortest time was 67 min. The longest time was 40 min after operation and the shortest time was 10 min, with an average of 25 min. Intraoperative bleeding up to 150 ml, at least 10 ml. The average hospital stay 6 to 8 days, the whole group no death patients. Follow-up 3 to 24 months, no special complications. Conclusion: Retroperitoneoscopic laparoscopic ureteropelvic lithotripsy has a clear field of vision, clear anatomy, less blood loss, less trauma, quicker recovery and less complications. It has a bright future in clinical application.