儿科泌尿外科医学规范化与未来展望:基于临床指导的先天性肾积水及膀胱输尿管反流手术策略

Y. Hayashi, K. Mizuno, H. Nishio
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引用次数: 0

摘要

儿童与先天性异常的肾脏和泌尿道(CAKUT)已被儿科医生和儿科泌尿科医生看到。日本儿科泌尿外科学会(JSPU)于2005年制定了隐睾的治疗指南。由于该指南得到了许多从事儿科泌尿外科的医生的赞赏,因此隐睾患者一直按照日本指南进行治疗。在日本,先天性肾积水和膀胱输尿管反流(VUR)患者的治疗是按照西方国家的指南进行的。然而,由于日本的医疗保险制度与西方国家不同,因此需要针对这些疾病患者的指南。2016年,日本JSPU学术委员会制定了先天性肾积水和VUR患者指南。根据这些指南,腹腔镜手术作为微创手术已经广泛应用。此外,机器人手术在日本儿科泌尿外科领域刚刚起步。综上所述,儿童泌尿系统重建手术可以被机器人辅助手术取代,在不久的将来可能被证明是微创手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical standardization and future prospects in the field of pediatric urology: surgical strategy based on clinical guidance for congenital hydronephrosis and vesicoureteral reflux
Children with congenital anomalies of the kidney and urinary tract (CAKUT) have been seen by pediatricians and pediatric urologists. The JSPU (Japanese Society of Pediatric Urology) developed the guideline of treatment for cryptorchidism in 2005. Because the guideline was appreciated by many doctors who were engaged in pediatric urology, patients with undescended testicles have been treated according to the Japanese guideline. In Japan patients with congenital hydronephrosis and vesicoureteral reflux (VUR) have been treated according to the guideline of western countries. However, the guidelines for the Japanese patients of these disorders are required, because the medical insurance system is different from that in western countries. In 2016, the guidelines for patients with congenital hydronephrosis and VUR were developed in Japan by the academic committee of the JSPU. According to these guidelines, laparoscopic surgeries have become widespread as minimally invasive surgery. In addition, robotic surgery has just started in the field of pediatric urology in Japan. In conclusion, urological reconstruction surgery for children could be replaced with robot-assisted surgery, which may be proved to be minimally invasive surgery in the near future.
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