摘要:目的:探讨经腹腔镜行输尿管膀胱再植手术的临床疗效。 方法:对3例先天性巨输尿管疾病患者采用经腹腔镜行输尿管下段整形膀胱移植术。结果:3例手术顺利,均获成功,术中出血量20～80 mL,术后吻合口或切口无漏尿,术后住院时间7～12 d。所有患者随访3～6个月,静脉肾盂造影(IVU)或B超均提示造影剂通过良好,肾积水均得到明显改善,输尿管不扩张,无输尿管吻合口狭窄。结论:经腹腔镜输尿管膀胱再植手术具有创伤小、出血少、术后恢复快、住院时间短等特点,疗效肯定,值得临床推广。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.