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目的:评价腹膜后腹腔镜手术用于泌尿外科重建手术的疗效、安全性,并总结治疗体会。方法:应用腹膜后腹腔镜手术行肾部分切除术54例,肾固定术26例,肾盂切开取石术12例,肾盂成形术82例,输尿管切开取石术84例。结果:254例成功,4例中转开放手术。手术时间30~150min,平均80min,术中出血20~400ml,平均150ml。术后住院4~23d,平均14d。无严重并发症发生。结论:腹膜后腹腔镜重建手术治疗泌尿外科疾病安全、有效,患者创伤小,痛苦轻,术后康复快。
Objective: To evaluate the efficacy and safety of retroperitoneal laparoscopic surgery for urological reconstructive surgery and to summarize the experience of treatment. Methods: 54 cases of partial nephrectomy, 26 cases of renal fixation, 12 cases of pyelolithotomy, 82 cases of pyeloplasty and 84 cases of ureterolithotomy were performed with retroperitoneal laparoscopic surgery. Results: 254 cases were successful and 4 cases were transferred to open surgery. Surgery time 30 ~ 150min, an average of 80min, intraoperative bleeding 20 ~ 400ml, an average of 150ml. After hospitalization 4 ~ 23d, an average of 14d. No serious complications occurred. Conclusion: Laparoscopic retroperitoneal laparoscopic reconstruction of urological diseases is safe and effective, with less trauma, less pain and quick postoperative recovery.