Naval Medical Center San Diego, Department of Urology, San Diego, CA 92104, USA.
J Pediatr Urol. 2011 Oct;7(5):529-33. doi: 10.1016/j.jpurol.2010.08.004. Epub 2010 Sep 25.
We report our initial experience, and describe our technique, in performing laparoscopic ipsilateral ureteroureterostomy (IUU) in the pediatric population.
An IRB-approved, retrospective review of all patients undergoing laparoscopic IUU at our institution between 2006 and 2009 was performed. Demographic data, mode of presentation, underlying diagnosis, operative parameters, complications and follow-up data were analyzed. Cystoscopy, retrograde pyelograms and ureteral stent placement into the lower pole ureter were performed at the beginning of all cases. All were performed via a transperitoneal approach. An end-to-side ureteral anastamosis was carried out along the proximal lower pole ureter. No drains were left in place. Urethral catheters were left for 48 h.
There were seven patients in the series. All were female with a mean age of 84 months (11190). Diagnosis was an ectopic ureter in six patients and a ureterocele in one patient. No patient required conversion to an open approach. Mean total operative time was 187 min (140252). Mean hospital stay was 2 days (14) with a mean follow up of 8 months (115). No complications occurred postoperatively. Follow-up studies demonstrate decreased or resolved hydronephrosis in all cases.
In our initial experience, laparoscopic IUU can be accomplished in a safe and effective manner with minimal complication.
我们报告了我们在小儿人群中进行腹腔镜同侧输尿管-输尿管吻合术（IUU）的初步经验，并描述了我们的技术。
对我们机构在 2006 年至 2009 年期间进行的所有腹腔镜 IUU 患者进行了一项经过 IRB 批准的回顾性研究。分析了人口统计学数据、表现方式、基础诊断、手术参数、并发症和随访数据。在所有病例的开始时都进行了膀胱镜检查、逆行肾盂造影和将输尿管支架置入下极输尿管。所有手术均经腹腔途径进行。在近端下极输尿管进行端对侧输尿管吻合。不放置引流管。留置导尿管 48 小时。
该系列中有 7 名患者。均为女性，平均年龄为 84 个月（11190）。6 例诊断为异位输尿管，1 例诊断为输尿管囊肿。无患者需要转为开放手术。平均总手术时间为 187 分钟（140252）。平均住院时间为 2 天（14），平均随访时间为 8 个月（115）。术后无并发症发生。随访研究显示所有病例的肾积水均减少或消失。
在我们的初步经验中，腹腔镜 IUU 可以安全有效地进行，并发症很少。
