Abstract：Objective:To evaluate the clinical value of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculus. Methods:The clinical data of 116 cases of upper ureteral calculus treated with retroperitoneal laparoscopic ureterolithotomy in our hospital from January 2008 to January 2014 were analysed retrospectively. Results:Retroperitoneal laparoscopic ureterolithotomy was performed successfully on 115 patients, and only one patient was conversed to the open operation. The average operation time was (76.3±28.5) min, the mean blood loss during operation was (35.4±16.8) mL, the drainage tube placement time was (5.7±1.1) days, and the postoperative hospital stay was (6.5±1.3) days. The follow-up time after operation was 1-70 months. The hydronephrosis in all patients was alleviated to varying degrees and no serious complications occurred. Conclusions:The clinical value of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculus is significant, with advantages of small wound, rapid recovery, less complications, higher safety and reliability. It is recommended to practise in primary level hospitals.
李建明,朱建,解吕中. 后腹膜路径下腹腔镜输尿管上段切开取石术116例[J]. 微创泌尿外科杂志, 2014, 3(3): 146-148.
Li Jianming,Zhu Jian,Xie Lvzhong. The experience of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculus: a report of 116 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(3): 146-148.
[1]Kohri K, Suzuki K. Guidelines on urolithiasis: an outline and effective use of the revised version. Hinyokika Kiyo, 2012,58(12):695-696 [2]那彦群,叶章群,孙光.中国泌尿外科疾病诊断治疗指南(2011版). 北京:人民卫生出版社,2011: 209. [3]Yasui T, Okada A, Hamamoto S, et al. Efficacy of retroperitoneal laparoscopic ureterolithotomy for the treatment of large proximal ureteric stones and its impact on renal function. Springerplus, 2013,2:600. [4]Kumar A, Nanda B, Kumar N, et al. A prospective randomized comparison between shockwave lithotripsy and semirigid ureteroscopy for upper ureteral stones <2 cm: A single center experience. J Endourol, 2013 Sep 12. [Epub ahead of print]. [5]Sen H, Bayrak O, Erturhan S, et al. Comparing of different methods for prevention stone migration during ureteroscopic lithotripsy. Urol Int, 2013 Jul 4. [Epub ahead of print]. [6]Ali SM, Mehmood K, Faiq SM, et al. Frequency of complications in image guided percutaneous nephrostomy. J Pak Med Assoc, 2013,63(7):816-820. [7]Tugcu V, Simsek A, Kargi T, et al. Retroperitoneal laparoendoscopic single-site ureterolithotomy versus conventional laparoscopic ureterolithotomy. Urology, 2013,81(3):567-572.
