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目的 探讨经腹腹腔镜单一体位肾输尿管全长切除术治疗上尿路尿路上皮癌的临床效果?方法 本文选取了我院2019年7月至2021年3月84例上尿路尿路上皮癌患者作为试验对象，并按随机数字表法进行分组，每组42例?为保证试验变量的一致性，两组患者麻醉方式均选择气管内插管进行全身麻醉?对照组患者采用传统手术方式，即按照常规上尿路尿路上皮癌治疗方式进行标本取出?观察组患者则采用经腹腹腔镜单一体位肾输尿管全长切除术进行手术治疗，观察手术基础数据，包括手术总耗时?术中出血量?引流量?手术治疗后的反馈数据，包括术后随访时间“,”Objective To investigate the clinical effect of laparoscopic single-position full-length nephroureterectomy in the treatment of upper urothelial carcinoma.Methods This article selected 84 patients with urothelial cancer in our hospital from July2019 to March2021 as experimental subjects，and grouped them according to modern statistical grouping methods，with 42cases in each group.In order to ensure the experimental variables，the anesthesia methods of the two groups of patients were endotracheal intubation for general anesthesia.The patients in the control group used traditional surgery，specimens were taken out in accordance with the conventional treatment of urothelial cancer.Patients in the observation group were treated with laparoscopic single-position full-length nephroureterectomy.The basic data of the operation were observed，including the total operation time，intraoperative blood loss，and drainage volume.Feedback data after surgical treatment，including postoperative follow-up time，postoperative pain grading，intraoperative tumor implantation rate，and patient surgical satisfaction rate.The occurrence of adverse reactions in patients after surgery.The immunoserological test results of the two groups of patients after surgery included C-reactive protein(C-RP)，transferrin(TRF)，and immunoglobulin G(IgG).The calculation of the patient\'s pain standard uses the International Pain I Comparison Table，and the data in the table was re-scored.The score ranges from0-10points.The higher the score，the higher the pain level of the patient.Results The observation group was signi?cantly better than the control group in terms of total operation time，intraoperative blood loss，and drainage volume，and it was statistically signi?cant(P<0.05).The observation group had follow-up time and postoperative pain.The classi?cation，the accidental implantation rate of intraoperative tumors and the satisfaction rate of patients were signi?cantly better than those of the control group，and it was statistically signi?cant(P<0.05).After the operation，the incidence of adverse reactions in the observation group was signi?cantly lower than that of the control group and it was statistically signi?cant(P<0.05).The immunoserological test related data of the observation group after surgery was signi?cantly better than the control group，and it was statistically signi?cant(P<0.05).Conclusion Laparoscopic single-position full-length nephroureterectomy for upper urinary tract urothelial carcinoma has a good effect，excellent postoperative feedback，satisfactory control of adverse reactions，and it is worthy of promotion.