Role of robotic-assisted laparoscopy in removing prostatic utricle cyst and seminal reconstruction

Q4 Medicine
Yu Mao, Daorui Qin, M. Xia, Xue-jun Wang, Shaoji Chen, Yunman Tang
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引用次数: 0

Abstract

Objective To summarize the clinical experiences of removing prostatic utricle cyst and seminal reconstruction with robotic-assisted laparoscopy. Methods From July 2019 to September 2019, five children with recurrent epididymitis and urinary tract infection after hypospadias repair were analyzed retrospectively. The average age was (47.2±42.2) months. Urinary ultrasound and voiding cystourethrogram (VCUG) were performed for confirming the presence of prostatic utricle cyst. And removing prostatic utricle cyst and seminal reconstruction were performed simultaneously. After operation, ultrasonography of urinary system and routine urinalysis were performed. Results The follow-up period was (4-6) months. All procedures were successful without any intraoperative complication or any conversion into open surgery. The average operative duration was (133.0±77.1) min. There was no onset of such postoperative complications as recurrent epididymitis or urinary tract infection. Conclusions It is both safe and effective to resect prostatic utricle cyst and reconstruct seminal tract simultaneously with robotic-assisted laparoscopy. However, the patency of seminal tract and fertility rate in adulthood should be verified by longer term of follow-ups and data supports. Key words: Hypospadias; Prostatic utricle; Robot assisted laparoscopic surgery
机器人辅助腹腔镜在前列腺小囊切除及精囊重建中的作用
目的总结机器人辅助腹腔镜下前列腺小囊囊肿切除及精囊重建的临床经验。方法回顾性分析2019年7月~ 2019年9月收治的5例尿道下裂修补术后复发性附睾炎合并尿路感染患儿的临床资料。平均年龄(47.2±42.2)个月。行尿超及排尿膀胱尿道造影(VCUG)确认前列腺小囊囊肿的存在。前列腺小囊切除与精囊重建同时进行。术后行泌尿系统超声检查及常规尿分析。结果随访时间(4 ~ 6)个月。所有手术均成功,无任何术中并发症或转换为开放手术。平均手术时间为(133.0±77.1)min,术后无复发性附睾炎、尿路感染等并发症发生。结论机器人辅助腹腔镜下前列腺小囊囊肿切除与精道重建同时进行是安全有效的。然而,成年期的生殖道通畅和生育率还需要更长期的随访和数据支持来验证。关键词:尿道下裂;前列腺囊;机器人辅助腹腔镜手术
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来源期刊
中华小儿外科杂志
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.
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