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目的探讨后腹腔镜下脂肪囊外肾蒂淋巴管结扎术治疗乳糜尿手术方法和临床效果。方法15例患者均行后腹腔镜脂肪囊外肾蒂淋巴管结扎术。结果15例患者手术均成功,平均手术时间105min,术中出血量平均70ml。术后次日下床活动,未见明显的外科并发症。术后平均住院6.5d,出院时尿乙醚试验全部阴性,随访3~18个月无复发。结论该术式具有创伤更小,出血少,恢复快等优点,是目前治疗乳糜尿较理想的手术方式。
Objective To investigate the surgical method and clinical effect of retroperitoneal laparoscopic fat capsule external lymphatic drainage in the treatment of chyluria. Methods Fifteen patients underwent retroperitoneal laparoscopic fat capsule external lymphatic drainage. Results All the 15 patients were successful in operation, with an average operation time of 105 min and an average intraoperative blood loss of 70 ml. The next day after getting out of bed activity, no obvious surgical complications. The average postoperative hospital stay 6.5d, urinary ether test at discharge were all negative, followed up for 3 to 18 months without recurrence. Conclusion The operation has the advantages of less trauma, less bleeding, faster recovery and so on. It is the ideal surgical treatment for chyluria.