经腹膜外腹腔镜输尿管下段切开取石1例临床分析

王振林,邵世修,张宗亮,种立强,李晨,牛海涛,赵凯,郭珈铭,邢念增,张玉莲,李雪禹,袁效良,王科

Journal of Minimally Invasive Urology（2021）

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Abstract

腹腔镜输尿管切开取石因具有创伤相对小、无输尿管热损伤等优点逐步被泌尿外科医生和患者接受.输尿管上段结石可以通过后腹腔途径输尿管切开取石术治疗,但对于输尿管下段结石,通常选择经腹腔途径[1-2].但经腹腔途径需要切开腹膜、不可避免对肠管造成干扰,进而引起肠粘连、肠梗阻的发生.受到经腹膜外腹腔镜前列腺癌根治、经腹膜外腹腔镜全膀胱切除等手术的启发,我们探索实施了腹膜外途径腹腔镜输尿管切开取石术,并分析如下.

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