Preliminary experience of applying robotic-assisted laparoscopic pyeloplasty for bilateral ureteropelvic junction obstructions in children

Q4 Medicine

中华小儿外科杂志 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2020.03.001

T. Tao, Huixia Zhou, Pin Li, H. Cao, Tao Guo, Weiwei Zhu, Yang Zhao, Xiaoguang Zhou, Li-fei Ma

{"title":"Preliminary experience of applying robotic-assisted laparoscopic pyeloplasty for bilateral ureteropelvic junction obstructions in children","authors":"T. Tao, Huixia Zhou, Pin Li, H. Cao, Tao Guo, Weiwei Zhu, Yang Zhao, Xiaoguang Zhou, Li-fei Ma","doi":"10.3760/CMA.J.ISSN.0253-3006.2020.03.001","DOIUrl":null,"url":null,"abstract":"Objective \nTo summarize the experience and efficacy of robot-assisted bilateral laparoscopic pyeloplasty for children with bilateral ureteropelvic junction obstruction (UPJO). \n \n \nMethods \nRobot-assisted bilateral laparoscopic pyeloplasty was performed for 6 children with bilateral severe hydronephrosis from June 2017 to May 2019. There were 4 boys and 2 girls with an average age of (65.8±34.2) months. Ultrasound, magnetic resonance urography (MRU), diuretic renal dynamic imaging and voiding cystourethrogram (VCUG) were performed. The left/right-side preoperative anterioposterior diameter (APD) was (3.07±0.67) and (3.22±0.51) cm respectively. Then robotic-assisted bilateral laparoscopic pyeloplasty was performed. \n \n \nResults \nAll operations were successful. There was no intraoperative complication. The mean operative duration was (246.17±23.02) min and the mean volume of estimated blood loss was(29.17±6.07) ml. No complications of Clavien-Dindo grade Ⅲ/Ⅳ occurred. The mean follow-up period was (16.5±8.92) months. The left/right-side postoperative APD was (1.37±0.25) and (1.47±0.19) cm respectively. The statistical difference was significant. All renal functions were normal. \n \n \nConclusions \nRobotic-assisted bilateral laparoscopy pyeloplasty is both feasible and safe. It provides an effective method of managing patients with bilateral UPJO. \n \n \nKey words: \nChild; Ureteropelvic junction obstruction; Robot assisted laparoscopic surgery","PeriodicalId":10157,"journal":{"name":"中华小儿外科杂志","volume":"5 1","pages":"193-196"},"PeriodicalIF":0.0000,"publicationDate":"2020-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华小儿外科杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0253-3006.2020.03.001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To summarize the experience and efficacy of robot-assisted bilateral laparoscopic pyeloplasty for children with bilateral ureteropelvic junction obstruction (UPJO). Methods Robot-assisted bilateral laparoscopic pyeloplasty was performed for 6 children with bilateral severe hydronephrosis from June 2017 to May 2019. There were 4 boys and 2 girls with an average age of (65.8±34.2) months. Ultrasound, magnetic resonance urography (MRU), diuretic renal dynamic imaging and voiding cystourethrogram (VCUG) were performed. The left/right-side preoperative anterioposterior diameter (APD) was (3.07±0.67) and (3.22±0.51) cm respectively. Then robotic-assisted bilateral laparoscopic pyeloplasty was performed. Results All operations were successful. There was no intraoperative complication. The mean operative duration was (246.17±23.02) min and the mean volume of estimated blood loss was(29.17±6.07) ml. No complications of Clavien-Dindo grade Ⅲ/Ⅳ occurred. The mean follow-up period was (16.5±8.92) months. The left/right-side postoperative APD was (1.37±0.25) and (1.47±0.19) cm respectively. The statistical difference was significant. All renal functions were normal. Conclusions Robotic-assisted bilateral laparoscopy pyeloplasty is both feasible and safe. It provides an effective method of managing patients with bilateral UPJO. Key words: Child; Ureteropelvic junction obstruction; Robot assisted laparoscopic surgery

查看原文本刊更多论文

机器人辅助下腹腔镜肾盂成形术治疗儿童双侧输尿管盂连接处梗阻的初步体会

目的总结机器人辅助双侧腹腔镜肾盂成形术治疗双侧肾盂输尿管交界处梗阻(UPJO)的经验和疗效。方法对2017年6月至2019年5月6例双侧严重肾积水患儿行机器人辅助双侧腹腔镜肾盂成形术。男4例，女2例，平均年龄(65.8±34.2)个月。行超声、磁共振尿路造影(MRU)、利尿肾动态显像及排尿膀胱尿道造影(VCUG)检查。术前左/右前后径(APD)分别为(3.07±0.67)cm和(3.22±0.51)cm。然后进行机器人辅助的双侧腹腔镜肾盂成形术。结果所有手术均成功。无术中并发症。平均手术时间为(246.17±23.02)min，平均出血量为(29.17±6.07)ml。无Clavien-Dindo级Ⅲ/Ⅳ并发症发生。平均随访时间(16.5±8.92)个月。术后左右侧APD分别为(1.37±0.25)cm和(1.47±0.19)cm。统计学差异有显著性。各项肾功能正常。结论机器人辅助双侧腹腔镜肾盂成形术是可行且安全的。它为双侧UPJO患者提供了一种有效的治疗方法。关键词:儿童;输尿管盂连接处梗阻;机器人辅助腹腔镜手术

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.