| 摘要: |
| 目的初步探讨单切口腹腔镜输尿管切开取石术的有效性和安全性。方法对2009年6月至7月6例输尿管结石患者初步尝试应用单切口腹腔镜输尿管切开取石术, 分析临床资料及手术效果,总结临床经验及手术安全性。结果所有患者均成功手术,无中转开放或另外置入Trocar辅助患者；手术平均时间为 (93.5±30.4) min,出血量平均为(28.5±16.2) ml,术后平均住院(5.4±1.1) d；无术中并发症发生。结论单切口腹腔镜输尿管切开取石术安全可行,具有创伤小、美容效果好等优点,但操作难度较大,对术者要求较高。 |
| 关键词: 腹腔镜 单切口 输尿管切开取石术 输尿管结石 |
| DOI：10.3724/SP.J.1008.2010.0183 |
| 投稿时间：2009-07-27修订日期：2010-01-24 |
| 基金项目: |
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| Single port laparoscopic ureterolithotomy: an initial report of 6 cases |
| XU Dan-feng*, CHE Jian-ping, GAO Yi, YIN Lei, CUI Xin-gang, LIU Yu-shan |
| (Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China) |
| Abstract: |
| ObjectiveTo summarize our initial experience on single-incision laparoscopic ureterolithotomy in 6 patients, and to evaluate the efficacy and safety of this procedure. MethodsFrom Jun. 2009 to Jul. 2009, single-incision laparoscopic ureterolithotomies were performed in 6 patients who had a ureteral calculus. The clinical data and operative results were summarized retrospectively. ResultsAll 6 operations were performed successfully, with no conversion to an open procedure; neither an extra trocar for assistance was needed. No intraoperative complications were noticed. The average operative time was (93.5±30.4) min, the average estimated blood loss was (28.5±16.2) ml, and the average postoperative hospital stay was (5.4±1.1) d. ConclusionSingle-incision ureterolithotomy appears to be safe and effective, and has less trauma and better cosmetic outcomes; but it seems to be more difficult for the surgeon to operate. |
| Key words: laparoscopy single incision ureterolithotomy ureteral calculi |
