达芬奇机器人辅助腹腔镜肾盂输尿管成形术治疗肾盂输尿管连接部梗阻疗效观察

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摘要 目的:探讨达芬奇机器人辅助腹腔镜肾盂输尿管成形术治疗肾盂输尿管连接部梗阻的临床疗效。方法:回顾性分析收治的32例因肾盂输尿管连接部梗阻(UPJO)接受达芬奇机器人辅助腹腔镜肾盂输尿管成形术患者资料。结果:32例患者中,UPJO位于左侧24例,右侧8例。手术时间为90~380 min,平均158.6 min;失血量为20~120 ml,平均47.8 ml;住院日为3~15 d,平均5.7 d。术后有4例患者发生腹膜后暂时性漏尿,无其他围手术期并发症。经平均10.5个月的随访,临床治疗有效率达100%。结论:达芬奇机器人辅助腹腔镜肾盂输尿管成形术视野清晰,操作精确、方便,疗效满意。

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	郑霁
	鄢俊安
	李为兵
	李新
	陈志文
	周占松
	潘进洪

关键词 ：达芬奇机器人辅助手术, 肾盂输尿管连接部梗阻, 肾盂输尿管成形术, 腹腔镜术

Abstract：Objective:To explore the new technique of robot assisted pyeloplasty(RAP) for patients with ureteropelvic junction obstruction(UPJO) and to evaluate its clinical eficacy. Methods:32 patients who underwent RAP for UPJO were enrolled in our study. Their medical records were analysed retrospectively. Results:UPJO was found on the left side in 24 patients and on the right side in 8 patients. The average operative time, blood loss and hospital stay were 158.6 (90-380) min, 47.8 (20-120) ml and 5.7 (3-15) days respectively. The mean follow-up of 10.5 (1-30) months by ECT and/or diuretic renogram confirmed the absence of obstruction in all patients, which resulted in a success rate, measured as an improvement in drainage, of 100%. Conclusions:Our data suggest that the RAP is a safe and feasible option for the treatment of UPJO.

Key words： da Vinci robotic surgery ureteropelvic junction obstruction pyeloplasty laparoscopy

收稿日期: 2013-08-22

ZTFLH:

R692

基金资助:重庆市科技攻关计划项目(CSTC2010AC2025);Supported by Foundation for Sci & Tech Research Project of Chongqing (CSTC2010AC2025)

通讯作者: 潘进洪,panjh765@163.com

引用本文:

郑霁, 鄢俊安, 李为兵, 李新, 陈志文, 周占松, 潘进洪. 达芬奇机器人辅助腹腔镜肾盂输尿管成形术治疗肾盂输尿管连接部梗阻疗效观察[J]. 微创泌尿外科杂志, 2013, 2(5): 301-303.
Zheng Ji, Yan Junan, Li Weibing, Li Xin, Chen Zhiwen, Zhou Zhansong, Pan Jinhong. Robot assisted pyeloplasty for patients with ureteropelvic junction obstruction. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(5): 301-303.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1053.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2013/V2/I5/301

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