摘要:目的:探討經(jīng)腹腔鏡行輸尿管膀胱再植手術(shù)的臨床療效。 方法:對3例先天性巨輸尿管疾病患者采用經(jīng)腹腔鏡行輸尿管下段整形膀胱移植術(shù)。結(jié)果:3例手術(shù)順利,均獲成功,術(shù)中出血量20～80 mL,術(shù)后吻合口或切口無漏尿,術(shù)后住院時間7～12 d。所有患者隨訪3～6個月,靜脈腎盂造影(IVU)或B超均提示造影劑通過良好,腎積水均得到明顯改善,輸尿管不擴張,無輸尿管吻合口狹窄。結(jié)論:經(jīng)腹腔鏡輸尿管膀胱再植手術(shù)具有創(chuàng)傷小、出血少、術(shù)后恢復(fù)快、住院時間短等特點,療效肯定,值得臨床推廣。Abstract: Objective: To evaluate the clinical efficacy of transperitoneal laparoscopic ureterovesical reimplantation. Methods: Three patients who were diagnosed with simple congenital ureter outlet stricture,underwent transperitoneal laparoscopic ureterovesical reimplantation. Results: All the operations were successful. The intraoperative blood loss was 2080 mL (mean 45 mL). And the postoperative hospitalization was 712 day.No complications were occurred during operation and the follow up period for 36 months in 3 cases. 〖WTHZ〗Conclusion〖WTBZ〗: Transperitoneal laparoscopic ureterovesical reimplantation has the advantages of minimal invasion,less blood loss and rapid postoperative rehabilitation,which is an effective and practical procedure.