title: [Laparoscopic aid in upper urinary reconstructive operation].
abstract: 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.
authors.affiliation: Department of Urology, Yuhuangding Hospital, Yantai 264000, China.
authors.forename: Zhen-li
authors.initials: ZL
authors.lastname: Gao
authors.forename: Lei
authors.initials: L
authors.lastname: Shi
authors.forename: Ren-hui
authors.initials: RH
authors.lastname: Jiang
authors.forename: Jian-ming
authors.initials: JM
authors.lastname: Wang
authors.forename: Lin
authors.initials: L
authors.lastname: Wang
authors.forename: Dian-dong
authors.initials: DD
authors.lastname: Yang
authors.forename: De-kang
authors.initials: DK
authors.lastname: Sun
authors.forename: Qing-zuo
authors.initials: QZ
authors.lastname: Liu
authors.forename: Chang-ping
authors.initials: CP
authors.lastname: Men
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.forename: Ji-tao
authors.initials: JT
authors.lastname: Wu
mesh_terms: 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