| 摘要: |
| 目的 寻找疗效更佳的腹腔镜下左侧输尿管上段切开取石术的手术途径。方法 收集43例经肠系膜途径（A组）和
46 例结肠旁途径（B 组）患者的手术时间、术中出血量、术后肠道功能恢复时间、住院时间、术后并发症、下床活动时间等临床资料，比较两组的差异。结果 A 组在手术时间、术中出血量、术后肠道功能恢复时间、住院天数明显优于B 组，差异有统计学意义（均P＜0.05）；术后并发症、下床活动时间，两组差异无统计学意义（均P＞0.05）。结论 腹腔镜下经肠系膜途径左侧输尿管上段切开取石术是一种更安全、有效、微创的手术方法，值得在临床上推广应用。 |
| 关键词: 腹腔镜 输尿管结石 经肠系膜 经结肠旁 |
| DOI： |
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| Laparoscopic ureterolithotomy for left upper ureteral calculus: transmesocolic access versus retrocolic access |
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MAO Jinshui, XU Xiaojiang, WANG Yingbin
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Quzhou Municipal TCM Hospital
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| Abstract: |
| Objective To compare the clinical efficacy of transmesocolic access and retrocolic access in left laparoscopic ureterolithotomy. Methods Clinical data of 89 patients with left upper ureteral calculus underwent laparoscopic ureterolithotomy,including 43 cases with transmesocolic access (group A) and 46 cases with retrocolic access (group B), were retrospectively analyzed.The operation time, intraoperative blood loss, resumption of bowel movement, length of hospital stay, postoperative complications,success rate, blood transfusion and ambulation were compared between two groups. Results The operation time,intraoperative blood loss, time of bowel movement resumption and length of hospital stay in group A were all less than those in group B (all P＜0.05); while there were no differences in postoperative complications and the ambulation between two groups
(P ＞0.05). Conclusion Transmesocolic access in laparoscopic ureterolithotomy is safe, effective and minimally traumatic for patients with left upper ureteral calculus. |
| Key words: Laparoscopy Ureteral calculus Transmesocolic Retrocolic |
