Bajpai M, Kumar A, Gupta A K, Pawar D K
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Eur J Pediatr Surg. 2004 Jun;14(3):163-7. doi: 10.1055/s-2004-820903.
To comprehensively analyse the results of upper urological tract surgery performed using a lumbotomy approach in the paediatric age group.
68 consecutive patients underwent upper urological tract surgery during the last 5 years in our surgical unit. In all of these patients, a lumbotomy approach was used with a transverse skin incision. The hospital charts were reviewed for age, sex, diagnosis, type of surgery, intra-operative problems, duration of surgery, time to oral feeds, postoperative pain, length of hospitalisation and complications.
Age range was 1 month to 12 years with a mean of 66 months. There were 47 boys and 16 girls. Surgeries performed were: pyeloplasty, pyelolithotomy, nephroureterectomy, ureterostomy and heminephrectomy. No intraoperative problems were encountered and the mean duration of surgery was 64.68 minutes. All patients resumed full oral feeds within 24 hours of surgery and postoperative pain was minimal. The mean duration of hospital stay was 6.16 days. No incision-related complications were seen.
Lumbotomy incision is a safe, easy and effective approach for upper urological tract surgery in children.
全面分析采用腰部切口入路对小儿年龄组进行上尿路手术的结果。
在过去5年中，我们外科单元连续68例患者接受了上尿路手术。所有这些患者均采用腰部切口入路及横向皮肤切口。回顾医院病历以获取年龄、性别、诊断、手术类型、术中问题、手术时长、开始经口进食时间、术后疼痛、住院时间及并发症等信息。
年龄范围为1个月至12岁，平均66个月。男孩47例，女孩16例。实施的手术包括：肾盂成形术、肾盂切开取石术、肾输尿管切除术、输尿管造口术及半肾切除术。未遇到术中问题，平均手术时长为64.68分钟。所有患者在术后24小时内恢复完全经口进食，术后疼痛轻微。平均住院时间为6.16天。未观察到与切口相关的并发症。
腰部切口对于小儿上尿路手术而言是一种安全、简便且有效的入路。
