尿道复制中的尿道造口术:文献叙述综述

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY
M. Keleş , A. Harun Kinik , M. Selçuk Silay
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引用次数: 0

摘要

本综述的目的是评价输尿管-输尿管吻合术(UUA)方法在重复肾系统中的应用。材料和方法评价18岁以下因双收集系统行输尿管-输尿管吻合术的儿童患者的研究纳入本综述。排除了其他治疗双系统的手术方法,如半肾切除术、输尿管再植术和输尿管夹持术。在PubMed检索关键词“双收集系统输尿管输尿管吻合术”、“双收集系统输尿管输尿管吻合术”、“双肾输尿管输尿管吻合术”、“双肾输尿管输尿管输尿管吻合术”发现的研究。记录研究设计、手术措施、手术技术、随访时间、主要结果及并发症。结果1967 - 2024年(含2024年)共纳入29项研究。当研究被分析时,没有研究比较三种主要的UUA手术(开放、腹腔镜和机器人辅助腹腔镜)。在比较开放式和机器人辅助的UUA,以及腹腔镜与开放式技术的研究中,微创方法显示出更短的住院时间和可比较的结果,而两组之间的手术时间相似。根据现有文献,所有手术入路均可行,成功率高,并发症发生率低。然而,尚不足以确定开放、腹腔镜和机器人辅助腹腔镜UUA方法的优越性。需要前瞻性的比较研究来阐明治疗儿童双相系统的不同方法的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Técnicas de uretero-ureterostomía en la duplicación ureteral: una revisión narrativa de la literatura

Introduction

The aim of this narrative review is to evaluate the uretero-ureteral anastomosis (UUA) methods applied as a surgical option in duplicated renal systems.

Material and methods

Studies evaluating pediatric patients under 18 years of age who underwent any type of uretero-ureteral anastomosis due to double collecting system were included in the review. The other surgical methods to treat duplex systems such as heminephrectomy, ureteral reimplantation and ureteral clipping were excluded. The studies found by searching the keywords «double collecting system ureter ureteral anastomosis», «double collecting system ureteroureterostomy», «duplex kidney ureter ureteral anastomosis», «duplex kidney ureteroureterostomy» in PubMed. Study design, operative measures, technique of surgery, follow-up time, key results and complications were recorded.

Results

A total of 29 studies from 1967 to 2024 (including 2024) were included in the review. When the studies were analysed, there were no studies comparing the three main UUA procedures (open, laparoscopic and robot-assisted laparoscopic). In studies comparing open and robot-assisted UUA, and laparoscopic versus open techniques, minimally invasive approaches demonstrated shorter hospital stays and comparable outcomes, while operation times were similar across groups.

Discussion

According to the available literature, all of the operative approaches are feasible with high success and low complication rates. However, it is not sufficient to determine the superiority of open, laparoscopic and robot-assisted laparoscopic UUA methods. Prospective comparative studies are required to elucidate the effectivity of different methods to treat duplex systems in children.
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来源期刊
Actas urologicas espanolas
Actas urologicas espanolas UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
98
审稿时长
46 days
期刊介绍: Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.
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