Comparison of pneumovesic and open laparoscopic ureteral replantation in the treatment of vesicoureteral reflux
10.3969/j.issn.1009-8291.2023.05.007
- VernacularTitle:气膀胱腹腔镜下输尿管再植术与开放术式治疗幼儿膀胱输尿管反流的疗效比较
- Author:
Wenwen ZHU
1
;
Yongsheng CAO
1
Author Information
1. The Fifth Clinical Medical College of Anhui Medical University, Children’s Hospital Affiliated to Anhui Medical University, Hefei 230051, China
- Publication Type:Journal Article
- Keywords:
pneumovese;
laparoscope;
open operation;
ureteral replantation;
vesicoureteral reflux
- From:
Journal of Modern Urology
2023;28(5):404-407
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the clinical efficacy of pneumovesic and open laparoscopic ureteral replantation in the treatment of primary vesicoureteral reflux, and to summarize the characteristics of pneumovesic surgery. 【Methods】 A total of 70 children with vesicoureteral reflux treated at our hospital during 2016 and 2021 were divided into pneumovesic group and open group, with 35 children in either group. The pneumovesic group underwent laparoscopic Cohen’s ureteral replantation, and the open group underwent open Cohen’s ureteral replantation. The operation-related data of the two groups were compared. 【Results】 Compared with the open group, the pneumovesic group had smaller incision size (1.5 cm vs. 4.0 cm), less intraoperative blood loss (2.0 mL vs.10.0 mL), longer operation time [(185.3±54.2)min vs. (150.5±45.5)min], shorter postoperative hematuria time [(4.7±2.1 d) vs. (6.0±1.3 d)], shorter urinary catheter indwelling time [(11.9±4.0) d vs. (14.1±3.8) d], lower FLACC pain score [(d1: 2.5±0.7, d3: 1.5±0.6) vs. (d1: 5.3±0.9, d3: 2.9±0.6)], lower incidence of frequent and urgent urination (3% vs. 17% ), and higher postoperative incision satisfaction (100% vs. 89%). There was no recurrence in either group. 【Conclusion】 The curative effects were significant in both groups. Compared with open surgery, pneumovesic laparoscopic ureteral replantation for the treatment of primary vesicoureteral reflux has the advantages of small trauma, beautiful appearance, quick recovery and little influence on bladder function.
