Clinical Analsis Of Total Thyroidectiomy To Treat Thyroid Carcinoma

Objective: To analyze the open surgery and post-laparoscopic surgery for ureteropelvic junction (ureteropelvic Junction, UPJ) obstruction and long-term efficacy of surgical indications. Of ureteropelvic junction obstruction of the surgical treatment. Guide clinical right ureteropelvic junction obstruction surgical knowledge.Methods: Selected from the Second Hospital of Hebei Medical University, 2003-2008 Urology 100 cases admitted to surgical treatment in patients with ureteropelvic junction obstruction cases, including 40 cases of laparoscopic surgery group, marked as A group, open pyeloplasty surgery group, 60 cases were marked as B group. Patients in both the confirmed ureteropelvic junction obstruction. All patients had active preparations before surgery, under general anesthesia in an open or laparoscopic surgery, postoperative indwelling double "J" tube drainage in 2 to 3 months. All patients had hydronephrosis degree statistics, operative time, blood loss, hospital recovery time, and patients 3 months to 15 months follow-up investigation. Statistical data were analyzed.Results: The laparoscopic surgical trauma patients compared with open surgery is small, less postoperative wound drainage fluid, surgical incision beautiful, rapid postoperative recovery, shorter hospital stay. Laparoscopic pyeloplasty operative time is generally higher than conventional open surgery for a long time and there is statistically significant difference, in order to affect the surgical choices important factor. All patients were followed up 3 to 15 months, an average of 6 months, lumbar pain disappeared, the uprooting of pairs of "J" review after the B-or intravenous pyelography. One group of laparoscopic surgery and open surgery group the success rate of surgery and postoperative complication rate was no significant statistical difference. Conclusion: Retroperitoneal laparoscopic pyeloplasty has the development of a more mature,with the improvement of surgical proficiency, after laparoscopic pyeloplasty surgery time is close to open surgery. Postoperative long-term follow-up found that the incidence of surgical effects and complications from the broken pelvis near the open-plasty.The former surgical trauma, hospital stay, postoperative recovery,incision of aesthetics better than open surgery, fully embodies the advantages of minimally invasive laparoscopic surgery and the clinical results were satisfactory. Thus, breaking away from the type of retroperitoneal laparoscopic pyeloplasty in the treatment UPJO is expected to replace open surgery, as UPJO the best choice of treatment.