Division of Pediatric Urology, University of Minnesota Amplatz Children's Hospital, 2450 Riverside Avenue, Minneapolis, MN 55454, USA.
J Endourol. 2012 Oct;26(10):1279-83. doi: 10.1089/end.2012.0041. Epub 2012 Jul 3.
We report our experience and present our technique with the robot-assisted laparoscopic ipsilateral ureteroureterostomy (IUU) in the management of ureteral duplication with ectopia in children.
We reviewed our institutional experience for all patients who underwent a robot-assisted laparoscopic IUU at the University of Minnesota Amplatz Children's Hospital between December 2010 and October 2011. An intraoperative, three-port technique was used after a ureteral stent was placed into the ipsilateral lower pole. Demographic information, diagnosis, operative time, hospital course, complications, and follow-up were all evaluated.
Our series included four female patients and one male patient with a mean age of 61 months (6 to 182 mos). All five had a diagnosis of upper pole ectopic ureters, one of which was associated with an ureterocele. Mean total operative time was 225 minutes (181 to 253 min), and mean hospital stay was 1.2 days (1-2 days). There were no intraoperative complications. In follow-up, at the time of ureteral stent removal, pyelonephritis developed in one patient, but all patients had resolution of their presenting symptoms including urinary tract infections and incontinence. A significant reduction in upper pole hydronephrosis was seen in all patients.
Our experience indicates that robot-assisted laparoscopic IUU is safe and effective in the management of ureteral duplication anomalies in children.
我们报告了我们的经验，并介绍了机器人辅助腹腔镜同侧输尿管-输尿管吻合术（IUU）在儿童异位输尿管重复畸形治疗中的技术。
我们回顾了 2010 年 12 月至 2011 年 10 月期间在明尼苏达大学安普乐儿童医院接受机器人辅助腹腔镜 IUU 的所有患者的机构经验。在将输尿管支架置入同侧下极后，采用术中三端口技术。评估了人口统计学信息、诊断、手术时间、住院过程、并发症和随访。
我们的系列包括 4 名女性和 1 名男性患者，平均年龄为 61 个月（6 至 182 个月）。所有 5 例均诊断为上极异位输尿管，其中 1 例合并输尿管囊肿。平均总手术时间为 225 分钟（181 至 253 分钟），平均住院时间为 1.2 天（1-2 天）。术中无并发症。在随访中，1 例患者在输尿管支架取出时发生肾盂肾炎，但所有患者的症状均已缓解，包括尿路感染和尿失禁。所有患者的上极积水均明显减少。
我们的经验表明，机器人辅助腹腔镜 IUU 在治疗儿童输尿管重复畸形是安全有效的。
