六針縫合法在腹腔鏡下插入式輸尿管膀胱再植術(shù)中的應(yīng)用
發(fā)布時(shí)間：2019-03-19 08:24
【摘要】：目的探討六針縫合法腹腔鏡下插入式輸尿管膀胱再植術(shù)的安全性及有效性。方法回顧性分析2012年3月-2015年9月16例腹腔鏡下6(4+2)針縫合法插入式輸尿管膀胱再植術(shù)的手術(shù)視頻、臨床資料。統(tǒng)計(jì)分析手術(shù)時(shí)間、術(shù)中出血量、術(shù)后引流量、引流管拔除時(shí)間、術(shù)后住院時(shí)間以及術(shù)后輸尿管反流、狹窄等并發(fā)癥發(fā)生率。結(jié)果 16例手術(shù)順利完成,無中轉(zhuǎn)開放病例。手術(shù)時(shí)間60~125 min,平均85 min。術(shù)中出血量20~50 ml,平均32 ml。術(shù)后引流量60~400 ml,平均106 ml。引流管拔除時(shí)間3~6 d,平均4.2 d。術(shù)后住院時(shí)間7~10 d,平均8.5 d。16例均獲隨訪,隨訪時(shí)間6~18個(gè)月,平均12個(gè)月。無吻合口狹窄病例,1例有輕度反流,隨訪18個(gè)月未見加重。結(jié)論六針縫合法腹腔鏡下插入式輸尿管膀胱再植術(shù)安全、有效。手術(shù)時(shí)間明顯縮短、沒有增加吻合口狹窄及輸尿管反流等并發(fā)癥的發(fā)生率,有可能降低吻合口狹窄的發(fā)生率。
[Abstract]:Objective to evaluate the safety and efficacy of laparoscopic ureterocystectomy with six-needle suture. Methods from March 2012 to September 2015, the clinical data of 16 cases of laparoscopic 6 (42) suture implantation of ureter and bladder were retrospectively analyzed. The incidence of complications such as operative time, intraoperative bleeding, postoperative drainage volume, drainage tube extraction time, postoperative hospital stay, postoperative ureteral reflux and stricture were analyzed. Results the operation was successfully completed in 16 cases, and no cases of conversion to open operation were found. Operation time 60 to 125 min, average 85 min. Intraoperative bleeding volume 20-50 ml, average 32 ml. Postoperative drainage volume 60 to 400 ml, average 106 ml. The drainage tube was removed for 3 days and 6 days, with an average of 4.2 d. All patients were followed up for 7 days and 10 days, with an average of 8.5 d. 16 patients were followed up for 6 months and 18 months (mean 12 months). No anastomotic stricture was found in 1 case with mild reflux, and no aggravation was found in 18 months follow-up. Conclusion six-needle suture laparoscopic ureterocystectomy is safe and effective. The operative time was shortened and the incidence of anastomotic stricture and ureteral reflux was not increased, which might reduce the incidence of anastomotic stricture.
【作者單位】： 河南省鄭州人民醫(yī)院泌尿外科;
【分類號(hào)】：R699
[Abstract]:Objective to evaluate the safety and efficacy of laparoscopic ureterocystectomy with six-needle suture. Methods from March 2012 to September 2015, the clinical data of 16 cases of laparoscopic 6 (42) suture implantation of ureter and bladder were retrospectively analyzed. The incidence of complications such as operative time, intraoperative bleeding, postoperative drainage volume, drainage tube extraction time, postoperative hospital stay, postoperative ureteral reflux and stricture were analyzed. Results the operation was successfully completed in 16 cases, and no cases of conversion to open operation were found. Operation time 60 to 125 min, average 85 min. Intraoperative bleeding volume 20-50 ml, average 32 ml. Postoperative drainage volume 60 to 400 ml, average 106 ml. The drainage tube was removed for 3 days and 6 days, with an average of 4.2 d. All patients were followed up for 7 days and 10 days, with an average of 8.5 d. 16 patients were followed up for 6 months and 18 months (mean 12 months). No anastomotic stricture was found in 1 case with mild reflux, and no aggravation was found in 18 months follow-up. Conclusion six-needle suture laparoscopic ureterocystectomy is safe and effective. The operative time was shortened and the incidence of anastomotic stricture and ureteral reflux was not increased, which might reduce the incidence of anastomotic stricture.
【作者單位】： 河南省鄭州人民醫(yī)院泌尿外科;
【分類號(hào)】：R699
【參考文獻(xiàn)】
相關(guān)期刊論文 前6條
1 習(xí)林云;何大維;劉星;華q，
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