Comparison of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction

Q4 Medicine

中华泌尿外科杂志 Pub Date : 2019-11-15 DOI:10.3760/CMA.J.ISSN.1000-6702.2019.11.007

L. Xiaodong, Xu Wanhua, Sun Junjie, Liu Shoulin

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Abstract

Objective Comparison of the efficacy of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction. Methods We retrospectively analyzed 85 cases of infants with ureteropelvic junction obstruction in our hospital from Jan. 2016 to Jan. 2018, all the patients underwent dismembered pyeloplasty. According to the surgical approach, they were divided into two groups: There were 45 cases in the mini flank incision group, including 39 males and 6 females, aged from 1 month to 3 years, with a median age of 4 months, and 40 patients in the laparoscopy group, including 33 males and 7 females, aged from 2 months to 3 years, with a median age of 9 months. The clinical effects of the two groups were compared. Results The patients were followed up for 12-24 months. The operation time[(68.0±15.3)min vs.(79.6±18.8)min], fasting time[(5±1)h vs.(14±8)h] and indwelling time of peri-renal drainage tube[(3.1±1.4)d vs.(4.3±2.2)d] in the mini flank incision group were shorter than those in the laparoscopy group (P 0.05). The recurrence rate[0 vs.5%(2/40)] and the incidence of complications[11.1%(5/45)vs. 17.5%(7/40)] in the mini flank incision group were lower than those in the laparoscopy group, but there was no statistical difference (P>0.05). Conclusions Pyeloplasty via mini flank incision or laparoscopy are both safe, effective and cosmetic.Mini flank incision surgery has the advantage of short operation time, easy to master and less disturbance of physiological function. Pyeloplasty via mini flank incision it is one of the reasonable options for the treatment of infants with ureteropelvic junction obstruction. Key words: Ureteral obstruction; Ureteropelvic junction obstruction(UPJO); Laparoscopy; Pyeloplasty; Minimally invasive; Infant

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小切口与腹腔镜治疗婴幼儿肾盂输尿管连接部梗阻的比较

目的比较腹部小切口与腹腔镜治疗婴幼儿肾盂输尿管连接处梗阻的疗效。方法回顾性分析我院2016年1月至2018年1月收治的85例婴儿肾盂输尿管连接处梗阻，所有患者均行肢解肾盂成形术。根据手术入路分为两组:侧腹小切口组45例，男39例，女6例，年龄1个月~ 3岁，中位年龄4个月;腹腔镜组40例，男33例，女7例，年龄2个月~ 3岁，中位年龄9个月。比较两组患者的临床疗效。结果随访12-24个月。腹部小切口组手术时间[(68.0±15.3)min比(79.6±18.8)min]、禁食时间[(5±1)h比(14±8)h]、肾周引流管留置时间[(3.1±1.4)d比(4.3±2.2)d]均短于腹腔镜组(P 0.05)。复发率[0 vs.5%(2/40)]，并发症发生率[11.1%(5/45)];17.5%(7/40)]腹部小切口组低于腹腔镜组，但差异无统计学意义(P < 0.05)。结论经腹侧小切口或腹腔镜行肾盂成形术安全、有效、美观。腹部小切口手术具有手术时间短、易掌握、对生理功能干扰小等优点。经侧小切口肾盂成形术是治疗婴幼儿输尿管盂连接处梗阻的合理选择之一。关键词:输尿管梗阻;输尿管盂连接处梗阻(UPJO);腹腔镜检查;肾盂成形术;微创;婴儿

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来源期刊

中华泌尿外科杂志 Medicine-Nephrology

CiteScore

0.10

自引率

0.00%

发文量

14180

期刊介绍： Chinese Journal of Urology (monthly) was founded in 1980. It is a publicly issued academic journal supervised by the China Association for Science and Technology and sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. This journal mainly reports on the latest scientific research results and clinical diagnosis and treatment experience in the professional field of urology at home and abroad, as well as basic theoretical research results closely related to clinical practice. The journal has columns such as treatises, abstracts of treatises, experimental studies, case reports, experience exchanges, reviews, reviews, lectures, etc. Chinese Journal of Urology has been included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Chinese Science Citation Database Source Journal (including extended version), and also included in American Chemical Abstracts (CA). The journal has been rated as a quality journal by the Association for Science and Technology and as an excellent journal by the Chinese Medical Association.