Department of Urology, University of Alexandria, Egypt.
J Pediatr Urol. 2013 Aug;9(4):427-31. doi: 10.1016/j.jpurol.2012.05.013. Epub 2012 Jul 7.
Mitrofanoff appendicovesicostomy is needed for securing a conduit for clean intermittent catheterization in children with myelomeningocele, posterior urethral valves and non-neuropathic neuropathic bladder. An open technique is widely used; herein we report our initial experience with minimally invasive laparoscopic appendicovesicostomy in children.
During 2007-2011 we operated on 4 male children with a mean age of 6 years (3-9) suffering from posterior urethral valves (1), myelomeningocele (2), and non-neuropathic neuropathic bladder (1). A posterior Mitrofanoff trough was used in one child while in the remaining children we used the anterior Mitrofanoff trough.
The mean operative time was 3.5 h (3-5). The mean hospital stay was 3.7 days (2-5). The mean follow up was 12.5 months (5-30). All are continent; one child was converted to open because of failure to pass the catheter at the end of the procedure. Cosmetic aspect is perfect. No difficulty in catheterization was encountered.
Laparoscopic Mitrofanoff is a feasible, safe and effective technique associated with low morbidity.
在患有脊髓脊膜膨出、后尿道瓣膜和非神经原性神经原性膀胱的儿童中，为了确保进行清洁间歇导尿，需要进行米托法诺夫阑尾膀胱造口术。广泛使用开放技术；在此，我们报告了在儿童中微创腹腔镜阑尾膀胱造口术的初步经验。
在 2007 年至 2011 年期间，我们为 4 名男性儿童进行了手术，平均年龄为 6 岁（3-9 岁），患有后尿道瓣膜（1 例）、脊髓脊膜膨出（2 例）和非神经原性神经原性膀胱（1 例）。1 名儿童使用后米托法诺夫槽，其余儿童使用前米托法诺夫槽。
平均手术时间为 3.5 小时（3-5 小时）。平均住院时间为 3.7 天（2-5 天）。平均随访时间为 12.5 个月（5-30 个月）。所有患儿均有节制能力；1 名患儿因术后导管无法通过而转为开放手术。美容效果完美。导尿过程无困难。
腹腔镜米托法诺夫是一种可行、安全、有效的技术，并发症发生率低。
