Comparison of the safety and efficacy of laparoscopic single-incision triangulated umbilical surgery pyeloplasty with traditional three-hole surgery in a pediatric tertiary center

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Journal of Urology Pub Date : 2024-10-07 DOI:10.1111/iju.15598

Liangsheng Lu, Bin Zhang, Liangfeng Tang, Jian Shen, Xiang Wang, Hongquan Geng

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引用次数: 0

Abstract

Objective

To report the application of laparoscopic single-incision triangulated umbilical surgery (SITUS) pyeloplasty in children with ureteropelvic junction obstruction (UPJO) and compare its feasibility and efficacy with traditional three-hole laparoscopic pyeloplasty.

Methods

Data from children with UPJO who underwent SITUS between July 2018 and August 2021 were included in this retrospective study and patients who were treated with traditional laparoscopic pyeloplasty were chosen for comparison. Thirty-two patients from SITUS group and 72 patients from traditional group were reviewed. The clinical characteristics, complications, and follow-up results were collected and compared.

Results

The preoperative demographic data and imaging parameters, including sex, surgical side, age, BMI, and preoperative anterior–posterior pelvic diameter (APD), showed no significant differences between the two groups. The median surgical time was 135 min (IQR: 119.75–160.5) in SITUS group, while 163.5 min (IQR: 141.25–187.5) in the traditional group (p = 0.0008). Two Clavien-Dindo III complications (6.25%) in SITUS group and 11 (15.3%) in the traditional group were recorded (p = 0.335). The success rate was 100% (32/32) in SITUS group and 94% (68/72) in the traditional group (p = 0.309).

Conclusion

SITUS pyeloplasty is a feasible and effective laparo-endoscopic single-site (LESS) technique for pediatric patients with excellent cosmetic results comparable to the conventional laparoscopic pyeloplasty. More cases and longer follow-up periods are needed to determine the exact outcomes of the modified LESS technique.

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在一家儿科三级中心比较腹腔镜单切口三角脐手术肾盂成形术与传统三孔手术的安全性和有效性。

目的报告腹腔镜单切口三角脐手术（SITUS）肾盂成形术在输尿管盆腔连接部梗阻（UPJO）患儿中的应用情况，并比较其与传统三孔腹腔镜肾盂成形术的可行性和疗效：这项回顾性研究纳入了2018年7月至2021年8月期间接受SITUS治疗的UPJO患儿数据，并选择接受传统腹腔镜肾盂成形术治疗的患者进行对比。研究回顾了 32 例 SITUS 组患者和 72 例传统组患者。收集并比较了临床特征、并发症和随访结果：结果：两组患者术前的人口统计学数据和影像学参数，包括性别、手术侧、年龄、体重指数和术前骨盆前后径（APD），无明显差异。SITUS 组的中位手术时间为 135 分钟（IQR：119.75-160.5），而传统组为 163.5 分钟（IQR：141.25-187.5）（P = 0.0008）。SITUS 组有 2 例 Clavien-Dindo III 并发症（6.25%），传统组有 11 例（15.3%）（P = 0.335）。SITUS 组的成功率为 100%（32/32），传统组为 94%（68/72）（P = 0.309）：结论：SITUS 肾盂成形术是一种可行且有效的腹腔内镜单部位（LESS）技术，可为儿科患者带来与传统腹腔镜肾盂成形术相当的良好外观效果。要确定改良LESS技术的确切效果，还需要更多病例和更长的随访时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Urology 医学-泌尿学与肾脏学

CiteScore

4.70

自引率

11.50%

发文量

340

审稿时长

3 months

期刊介绍： International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.