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目的:探讨腹膜后腹腔镜技术治疗腔静脉后输尿管的效果和操作经验。方法:7例腔静脉后输尿管患者在全麻下接受了腹膜后径路腹腔镜下输尿管切断、复位、裁剪及输尿管再吻合术。总结分析相关临床资料。结果:手术均顺利完成,无中转开放手术。平均手术时间130min,术中平均出血约80ml。术后患者均恢复顺利,无明显术中、术后并发症。术后3个月及6个月随访显示输尿管梗阻明显改善。结论:腹膜后腹腔镜技术治疗腔静脉后输尿管微创、安全、有效,值得临床推广应用。
Objective: To investigate the effect and operation experience of retroperitoneal laparoscopy in the treatment of ureter after vena cava. Methods: Seven patients undergoing retroperitoneal ureter underwent retroperitoneal laparoscopic ureterotomy, reduction, tailoring and ureter re-anastomosis under general anesthesia. Summary analysis of relevant clinical data. Results: All the operations were successfully completed and there was no transfer to open surgery. The average operation time was 130 minutes, the mean intraoperative bleeding was about 80ml. All patients recovered smoothly, no obvious intraoperative and postoperative complications. Follow-up 3 months and 6 months after operation showed that ureteral obstruction improved significantly. Conclusion: Laparoscopic retroperitoneal laparoscopic treatment of vena cava minimally invasive, safe and effective, worthy of clinical application.