摘要：
目的 探讨调整套管位置在经腹膜后途径治疗腔静脉后输尿管中的应用效果.方法 回顾性分析我院2011年8月至2014年10月5例经腹膜后途径治疗腔静脉后输尿管患者的临床资料.男3例,女2例.年龄15～46岁,平均34岁.病程1～10个月.3例因腰痛就诊,2例因体检发现肾积水就诊.结果 本组5例均手术成功,手术时间75～125 min,平均90 min,术中出血20～50 ml,平均35 ml.住院时间5～7d,平均6d.无切口感染、漏尿,术后4周拔除双J管.术后随访6～42个月,平均30个月,肾积水均明显减轻,吻合口无狭窄.结论 在经腹膜后途径治疗腔静脉后输尿管中,通过调整套管位置,增加了腔镜下的操作性,明显缩短了手术时间,降低了手术难度,减少了主刀医生的疲劳感.%Objective To introduce a new trocar position in the posterior laparoscopic for the treatment of retrocaval ureter.Methods From August 2011 to October 2014,5 cases with retrocaval ureter treated with posterior laparoscopic were retrospectively analyzed,including 3 males and 2 females,aged from 15 to 46 years(mean 34 years).The history of disease ranged from 1 to 10 months,with 3 cases presented with low back pain,and 2 cases being detected uronephrosis by check-up.Results All the operations were successfully completed,with the operation duration ranged from 75-125 min (mean 90min),and blood loss ranged from 20ml to 50 ml(mean 35 ml).The average hospital stay was 6 days(5-7d).There was no wound infection or urine leakage.Ureteral double-J tubes were removed 4 weeks after surgery.Postoperative followup ranged from 2 weeks to 6 months (mean 30 months).There was no anastomotic stricture,and the hydronephrosis relieved.Conclusions Trocar position adjustment of posterior laparoscopic in treatment of retrocaval ureter is convenient to operate,which also shortened the time of operation,reduced the difficulty of operation and the surgeons' fatigue.
