目的总结后腹腔镜手术治疗输尿管上段结石的手术经验,分析其手术技巧。方法回顾性分析2009年1月-2013年6月47例输尿管上段结石患者行后腹腔镜手术的临床资料。结果 46例成功完成后腹腔镜输尿管上段切开取石术,1例术后行体外冲击波碎石治疗排出。1例术后第4d发生尿漏。结论后腹腔镜手术治疗输尿管上段结石具有损伤小、痛苦小、康复快等优点。通过经验总结和技术改进,可加快手术进程,缩短手术时间,适宜推广。 Objective To summarize the experience of retroperitoneal laparoscopic surgery in the treatment of upper ureteral calculi and to analyze the surgical techniques. Methods The clinical data of 47 patients with upper ureteral calculi underwent retroperitoneal laparoscopic surgery from January 2009 to June 2013 were retrospectively analyzed. Results 46 cases were successfully completed laparoscopic ureteral incision and lithotomy, and 1 case was treated by extracorporeal shock wave lithotripsy. One patient had urinary leakage on the 4th day after operation. Conclusions Retroperitoneal laparoscopic surgery for upper ureteral calculi has the advantages of less damage, less pain and quick recovery. Through experience and technical improvements, can speed up the surgical process, shorten the operation time, suitable for promotion.