Abstract：Objective: To compare the clinical efficacy and security of laparoscopic dismembered pyeloplasty (LP) vs. open dismembered pyeloplasty (OP) surgery in children. Methods: The clinical data of 78 children with simple ureteropelvic junction obstruction (UPJO) from Jan. 2006 to Dec. 2012 were retrospectively analyzed, and the patients were divided into two groups: the LP group (n=40) given LP, and the OP group (n=38) subject to OP. The operative time, intraoperative blood loss, postoperative recovery, and postoperative complications were analyzed in the two groups. Results: Both LP and OP operations were completed successfully in two groups. There was no statistically significance difference (P＞0.05) in age, gender, affected side and lesion pain severity between the two groups. The incidence of postoperative urinary leakage and postoperative decrease of hydronephrosis between two groups showed no significant difference (P>0.05). Blood loss, storage of drainage tube, off-bed ambulation time, incision pain time, the incidence of postoperative incision infection, the incidence of retroperitoneal hematoma and postoperative hospital stay in LP group were reduced as compared with OP group, and the operative time in LP group was slightly longer (P＜0.05 for all). Conclusions: LP surgery in children has higher successful rate, less complications, less blood loss, quicker recovery, less pain and better wound healing than OP, and LP may be the standard method for the treatment of UPJO in children.
刘树瀚,谈宜傲,乔龙标,周林玉,孙友文. 小儿腹腔镜与开放离断式肾盂成形术的对比研究[J]. 微创泌尿外科杂志, 2016, 5(1): 1-4.
Liu Shuhan, Tan Yi'ao, Qiao Longbiao, Zhou Linyu, Sun Youwen,. Comparative study on dismembered pyeloplasty by laparoscopy vs. open surgery in children. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(1): 1-4.
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