经脐三通道腹腔镜输尿管切开取石术初步体会

Preliminary experience of transumbilical tri-port laparoscopic ureterolithotomy

摘要:

目的 探讨改良经脐三通道腹腔镜输尿管切开取石术初步应用体会。方法 2010年11月-2013年2月，采用该院改良经脐三通道腹腔镜手术治疗11例输尿管上段及中段结石患者。结果 11例患者手术全部成功，平均手术时间97 min；平均出血量33 mL；平均住院时间5.6 d。术后随访3～12个月，肾积水均较前改善，结石均无复发。结论 经脐三通道腹腔镜技术，安全可行，具有良好的美容和微创治疗效果，特别适合基层医院早期开展经脐微创技术。

Abstract:

【Objective】 To briefly discuss the preliminary application and experience of transumbilical tri-port laparoscopic ureterolithotomy. 【Methods】 From November, 2010 to February, 2013, 11 cases of patients with calculi in the upper and middle ureter were treated with transumbilical tri-port laparoscopic ureterolithotomy. 【Results】 All the surgeries were completed successfully, the average operation times were 97 min, the mean amount of bleeding were 33 mL, the mean hospital stays of patients were 5.6 d. There were no recurrent calculi cases and all of hydronephrosis improved after operations from three to twelve months. 【Conclusion】 Transumbilical tri-port laparoscopic surgery is a safety, efficient and reliable method, which has an excellent efficacy of minimally invasive treatment and hairdressing.It can be used properly in primary hospital.