探讨后腹腔镜输尿管切开取石术（RLU）治疗输尿管上段结石中放置双J管的方法和技巧。

回顾分析徐州医学院附属淮安医院2013年7月至2015年7月收治35例输尿管上段结石患者行经后腹腔镜输尿管切开取石术的临床资料，所有患者均行导丝引导结合手法操作放置双J管，总结术中双J管放置经验。

术中双J管放置过程顺利，置管时间2~9 min，平均4 min。术后行腹部平片（KUB）检查示双J管位置正常；术后1个月拔除双J管，均无漏尿及感染发热病例。

腹腔镜下导丝引导结合适当手法操作双J管置入法简单易行，快速有效，不需要特殊器械，值得临床推广应用。

To explore techniques of the double J stent placement in the treatment of upper ureteral calculi during retroperitoneal laparoscopic ureterolithotomy (RLU).

The clinical data of 35 cases with upper ureteral calculi who undwent retroperitoneal laparoscopic ureterolithotomy in Huai'an Hospital Affiliated to Xuzhou Medical College, from July 2013 to July 2015 were retrospectively analyzed. The double J stents were placed under the guidance of wire combined with appropriate manual operation technique, and the experiences of placement were summarized.

In all cases the double J stent placement were successful, and the operation time ranged from 2 to 9 min (mean 4 min). The position of the double J stent was showed normal by the KUB after operation. The double J stent was removed one month after operation, and no cases of leakage of urine and infection were found.

This approach of double J stent placement during laparoscopic is simple, fast and effective, without special instruments, which is worthy of clinical application.