Laparoscopic ureteroplasty for treatment of congenital obstructive megaureter in children
- VernacularTitle:小儿腹腔镜下巨输尿管成形术
- Author:
Huixia ZHOU
;
Xin MA
;
Xu ZHANG
;
Shuang LI
;
Cuiping XIAO
;
Guoxi ZHANG
;
Baojun WANG
;
Taoping SHI
;
Zhenghua JU
;
Chao WANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Megaureter;
Child
- From:
Chinese Journal of Urology
2008;29(4):259-262
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and feasibility of laparoscopie intervention for congenital obstructive megaureter in children. Methods Eleven children with congenital obstructive megaureter(left in 4,right in 7)underwent laparoseopie ureteroplasty.One had congenital ureter oririce stenosis,9 had been diagnosed as simple congenital ureter orifice stricture,1 had recurrent ureter orifice stricture after open ureterovesical reimplantation.B-ultrasound and IVU showed severe hydronephrosis in 7 cases and moderate in 4. Results The operation was successful in all cases and none had urine leakage.The mean operating time was 103.0±35.3 min(range 70-190 min).The mean blood loss was 18.0±9.5 ml(range 10-40 ml)and the mean postoperative hospital stay was 8.0±1.4 d(range 7-10 days).The double J stent was removed 6 weeks after operation.The patients were followed up for 3-24 months(mean,6 months).Cystography showed no reflux in all cases during follow-up. Conclusion Laparoscopical ureteroplasty could be a minimal invasive,less suffering technique for the treatment of congenital obstructive megaureter in children.
