[Laparoscopic aid in upper urinary reconstructive operation].
OBJECTIVE
To evaluate the efficacy and feasibility of laparoscopic aid in upper urinary reconstructive operation.


METHODS
Fifty-eight patients with ureteropelvic junction obstruction, 5 patients with upper ureter polypous, 2 patients with upper ureter stenosis, and 13 patients with upper ureter lithiasis underwent upper urinary reconstructive operation with laparoscopic aid described as follows:an incision 1 cm long was made, a 10 mm trocar and a 30 degrees laparoscope were wt in, the part with lesion was isolated and resected, and then pyeloplasty or end-to-end anastomosis of ureter was performed.


RESULTS
The mean operative time was 33 minutes (25-45 minutes). The mean blood loss was 20 ml (15-25 ml). Complications such as urinary leakage and infection were observed. The double J stent was removed at 1 month after the operation. Follow-up for 3 to 15 months in 20 cases showed alleviation of hydronephrosis.


CONCLUSIONS
An effective and safe method with less wound and operative time, combination of laparoscopic aid and open surgery in upper urinary reconstructive operation helps avoid difficult laparoscopic operation, does not increase trauma of the abdominal wall, and is worth promoting clinically.
Gao
Zhen-li
ZL
Department of Urology, Yuhuangding Hospital, Yantai 264000, China.
Shi
Lei
L
Jiang
Ren-hui
RH
Wang
Jian-ming
JM
Wang
Lin
L
Yang
Dian-dong
DD
Sun
De-kang
DK
Liu
Qing-zuo
QZ
Men
Chang-ping
CP
Zhang
Peng
P
Wu
Ji-tao
JT
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods