Therapeutic effect of laparoscopic ureteral end-to-side anastomosis at pelvic level for duplication of ureter
10.3760/cma.j.issn.2095-428X.2019.15.012
- VernacularTitle: 腹腔镜下盆腔水平输尿管端侧吻合术治疗重复输尿管畸形的疗效
- Author:
Xiaojiang ZHU
1
;
Jun WANG
;
Zan WAN
;
Liqu HUANG
;
Yunfei GUO
;
Yongji DENG
Author Information
1. Department of Urology, Affiliated Children′s Hospital of Nanjing Medical University, Nanjing 210008, China
- Publication Type:Journal Article
- Keywords:
Ureteral disease;
Laparoscope;
Hydronephrosis
- From:
Chinese Journal of Applied Clinical Pediatrics
2019;34(15):1176-1178
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the therapeutic effect of laparoscopic ureteral end-to-side anastomosis at pelvic level for duplicate ureteral malformation.
Methods:Clinical data of 10 children with unilateral ureteral duplication, who received laparoscopic ureteral end-to-side anastomosis at pelvic level at Department of Urology, Affiliated Children′s Hospital of Nanjing Medical University from September 2016 to November 2017 were reviewed.There were 6 boys and 4 girls with an average age of 13.9 months(1 month and 21 days to 3 years and 9 months). Ultrasonography, intravenous pyelography and magnetic resonance urography were performed before surgery.There were 6 cases of duplication with hydronephrosis in the upper moiety. The rest 4 cases were complicated with ureteroceles.Presentations included urinary dripping and symptoms caused by urinary tract infections.Urine test, ultrasonography, intravenous pyelography were performed during the 3-16 months follow-ups for all the patients after surgery.
Results:The laparoscopic ureteral end-to-side anastomosis was performed successfully in all patients at the pelvic level, the average ope-rating time was 98 minutes (60-125 minutes) and mean hospital stay was 7.3 days(7-8 days). All the presentations disappeared after surgery.All the patients were followed up for 3 to 6 months with relieved hydronephrosis.Postoperative examination of intravenous pyelography in 10 cases showed that there was no anastomotic obstruction.
Conclusions:The laparoscopic ureteral end-to-side anastomosis can be used for duplicate ureter, and it is a safe and effective method for the treatment of ureteral duplication.
