Comparison of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction
10.3760/cma.j.issn.1000-6702.2019.11.007
- VernacularTitle: 经腰部小切口与腹腔镜离断式肾盂成形术治疗婴幼儿UPJO的疗效比较
- Author:
Xiaodong LIU
1
;
Wanhua XU
1
;
Junjie SUN
1
;
Shoulin LI
1
Author Information
1. Department of Urology, Shenzhen Children’s Hospital, Shenzhen 518038, China
- Publication Type:Journal Article
- Keywords:
Ureteral obstruction;
Ureteropelvic junction obstruction(UPJO);
Laparoscopy;
Pyeloplasty;
Minimally invasive;
Infant
- From:
Chinese Journal of Urology
2019;40(11):829-832
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Comparison of the efficacy of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction.
Methods:We retrospectively analyzed 85 cases of infants with ureteropelvic junction obstruction in our hospital from Jan. 2016 to Jan. 2018, all the patients underwent dismembered pyeloplasty. According to the surgical approach, they were divided into two groups: There were 45 cases in the mini flank incision group, including 39 males and 6 females, aged from 1 month to 3 years, with a median age of 4 months, and 40 patients in the laparoscopy group, including 33 males and 7 females, aged from 2 months to 3 years, with a median age of 9 months. The clinical effects of the two groups were compared.
Results:The patients were followed up for 12-24 months. The operation time[(68.0±15.3)min vs.(79.6±18.8)min], fasting time[(5±1)h vs.(14±8)h] and indwelling time of peri-renal drainage tube[(3.1±1.4)d vs.(4.3±2.2)d] in the mini flank incision group were shorter than those in the laparoscopy group (P<0.01), but there was no significant difference in the amount of blood loss[(2.1±0.9)ml vs.(2.2±0.6)ml] during the operation (P>0.05). The recurrence rate[0 vs.5%(2/40)] and the incidence of complications[11.1%(5/45)vs. 17.5%(7/40)] in the mini flank incision group were lower than those in the laparoscopy group, but there was no statistical difference (P>0.05).
Conclusions:Pyeloplasty via mini flank incision or laparoscopy are both safe, effective and cosmetic.Mini flank incision surgery has the advantage of short operation time, easy to master and less disturbance of physiological function. Pyeloplasty via mini flank incision it is one of the reasonable options for the treatment of infants with ureteropelvic junction obstruction.
