Objective To analyze the method and application effect of retrolaparoscopic lithotomy with double J tube implantation.Methods A total of 134 patients treated in Wuyishan Municipal Hospital,Fujian Province from May 2018 to April 2023 underwent retroperitoneal laparoscopic lithotomy.They were divided into control group and observation group by random number table,67 cases in each group.The control group was treated with conventional retrolaparoscopic lithotomy and double J tube implantation,and the observation group was treated with modified retrolaparoscopic lithotomy and double J tube implantation.The time of double J tube placement,the abnormal rate of double J tube position,surgical indexes,postoperative recovery indexes and postoperative complications were compared between the two groups.Results The placement time of double J tube in observation group was shorter than that in control group,and the abnormal rate of double J tube was lower than that in control group,the difference was statistically significant(P<0.05).The operation time,postoperative rehabilitation time and hospital stay in the observation group were shorter than those in the control group,and the postoperative drainage volume was less than that in the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications was 4.48%in the observation group,which was lower than 14.93%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of the new method of double J tube placement in patients undergoing retrolaparoscopic lithotomy can shorten the time of double J tube placement,reduce the abnormal rate of double J tube position,optimize the surgical indicators and postoperative recovery indicators,and reduce complications.
关键词
后腹腔镜/切开取石/双J管置入时间/双J管位置异常/手术指标/术后恢复指标/术后并发症
Key words
retrolaparoscopy/lithotomy/double J tube placement time/abnormal position of double J tube/surgical index/postoperative recovery index/postoperative complication