Transumbilical laparoendoscopic single-site pyeloplasty in infants and children: initial experience
10.3760/cma.j.issn.1000-6702.2011.12.013
- VernacularTitle:小儿经脐单孔腹腔镜下肾盂成形术的初步经验
- Author:
Huixia ZHOU
;
Ning SUN
;
Xu ZHANG
;
Lifei MA
;
Huawei XIE
;
Zhou SHEN
;
Xiaoguang ZHOU
;
Tian TAO
;
Chengru HUANG
- Publication Type:Journal Article
- Keywords:
Ureteropelvic junction obstruction;
Laparoendoscopic single-site;
Pyeloplasty;
Child
- From:
Chinese Journal of Urology
2011;32(12):823-826
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present the surgical technique of transumbilical laparoendoscopic singlesite pyeloplasty (LESS-P) for pediatric patients with ureteropelvic junction obstruction (UPJO).Methods Twenty-four pediatric patients with UPJO had transumbilical LESS-P performed by the same surgeon from June to December 2010.Sixteen patients were male and eight female aged from 2 to 62 months with an average age of 14 months.Eighteen patients had obstruction on the left side and six on the right side.Dismembered LESS-P was carried out with the Anderson-Hynes anastomosis where 5-0 sutures were uswed over a double J ureteric stent.Results All operations were successful.None was converted to open surgery and no additional sheath tube or incision besides the umbilicus was needed.No intraoperative complications occurred.Ectopic blood vessels were found in two patients during surgery.The mean operative time was 145 min,and the average blood loss about 10 ml.Abdominal drainage tubes remained for 2 -9 d after surgery.The mean postoperative hospital time was 7 d.Two patients had postoperative urinary fistula,which naturally disappeared at 4 and 7 d postoperation,respectively.Follow-up with ultrasound and diuretic renal scintigraphy found 23 patients had significantly decreased renal pelvis diameter,the remaining case showed no obvious change,but diuretic renography showed significantly improved excretion.ConclusionsPediatric transumbilical LESS-P could be safe and effective.LESS-P could achieve comparable clinic outcomes to standard laparoscopy.
