Valla Jean-Stephane
Department of Pediatric Surgery, Hopital Lenval, Nice, France.
Semin Pediatr Surg. 2007 Nov;16(4):270-7. doi: 10.1053/j.sempedsurg.2007.06.010.
Even if no large comparative studies enable us to definitely confirm the potential advantages of minimal retroperitoneoscopic access surgery, this new technique is now expanding in pediatric urology and considered today as feasible and safe in well-trained hands. The technique is described in detail; the main indications are presented from the classical ablative surgery, like total or partial nephrectomy, to more advanced reconstructive surgery, like pyeloplasty, retrocaval ureter, and stone disease. The success rate is similar to open surgery. However, the advanced laparoscopic skills needed for reconstructive surgery in children may limit its widespread application.
即使没有大规模的对照研究能让我们确切证实后腹腔镜微创入路手术的潜在优势，但这项新技术如今正在小儿泌尿外科领域不断拓展，并且在训练有素的医生手中，目前被认为是可行且安全的。本文对该技术进行了详细描述；主要适应证涵盖了从经典的切除手术，如全肾或部分肾切除术，到更复杂的重建手术，如肾盂成形术、腔静脉后输尿管手术以及结石疾病的治疗。其成功率与开放手术相似。然而，儿童重建手术所需的先进腹腔镜技术可能会限制其广泛应用。
