Chung Patrick Ho Yu, Tang Dorothy Yuen Yee, Wong Kenneth Kar Yuen, Yip Peter Kam Fai, Tam Paul Kwong Hang
Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
J Pediatr Surg. 2008 Dec;43(12):2246-9. doi: 10.1016/j.jpedsurg.2008.08.057.
BACKGROUND/PURPOSE: In this article, we are going to report our early experience on laparoscopic pneumovesical approach for ureteric reimplantation and to compare the result with traditional open approach.
A retrospective review of patients who underwent ureteric reimplantation from 2000 to 2007 was carried out. They were divided into open and pneumovesical group according to the surgical approach. Comparison in terms of operative duration, hospital stay, and complication rate was made.
During the study period, a total of 22 ureteric reimplantation procedures were carried out. Thirteen and nine patients were operated by open and pneumovesical approaches, respectively. The mean age for operation in the 2 groups were similar (P = .62). Although the average operation time is 38.0 minutes longer in the pneumovesical group (P = .049), patients from this group had a hospital stay 2.3 days shorter than the open group (P = .065). Regarding curative success rate, both groups show similar result and were able to achieve more than 95% success rate. No major complications were found in the 2 groups. Cost-effective analysis favors pneumovesical approach in this study.
The pneumovesical approach is safe and effective for ureteric reimplantation in children. It offers less postoperative morbidities and shorter hospital stay when compared to traditional open method.
背景/目的：在本文中，我们将报告我们在腹腔镜膀胱充气法输尿管再植术方面的早期经验，并将结果与传统开放手术方法进行比较。
对2000年至2007年接受输尿管再植术的患者进行回顾性研究。根据手术方法将他们分为开放手术组和膀胱充气组。对手术时间、住院时间和并发症发生率进行比较。
在研究期间，共进行了22例输尿管再植手术。分别有13例和9例患者接受了开放手术和膀胱充气手术。两组的平均手术年龄相似（P = 0.62）。虽然膀胱充气组的平均手术时间长38.0分钟（P = 0.049），但该组患者的住院时间比开放手术组短2.3天（P = 0.065）。关于治愈率，两组结果相似，成功率均超过95%。两组均未发现重大并发症。本研究中的成本效益分析支持膀胱充气法。
膀胱充气法在儿童输尿管再植术中安全有效。与传统开放方法相比，它术后发病率更低，住院时间更短。
