Chandrasekharam V V S
Department of Pediatric Surgery, Pediatric Urology & MAS, Rainbow Hospitals for Women and Children, Road No. 10, Banjara Hills, Hyderabad 500034, Telangana, India.
J Pediatr Urol. 2015 Jun;11(3):161-3. doi: 10.1016/j.jpurol.2015.03.005. Epub 2015 Apr 23.
We describe a novel technique of laparoscopic undiversion and reimplantation of end ureterostomy in children.
Three children (mean age 2.1 y, two girls) underwent laparoscopic undiversion and reimplantation of unilateral end ureterostomy during early infancy for symptomatic primary obstructive megaureter. The procedure consisted of laparoscopic dismantling of stoma, mobilization and medial rerouting of ureter, and extravesical ureteric reimplantation.
There were no complications (mean follow-up 10 months). Follow-up investigations revealed only mild residual hydronephrosis with no ipsilateral reflux. Cosmetic results were excellent.
Our novel technique allows laparoscopic undiversion of ureterostomy to be performed with success.
我们描述一种用于儿童腹腔镜下输尿管造口术逆转及输尿管末端再植的新技术。
三名儿童（平均年龄2.1岁，两名女孩）在婴儿早期因有症状的原发性梗阻性巨输尿管接受了腹腔镜下输尿管造口术逆转及单侧输尿管末端再植术。该手术包括腹腔镜下拆除造口、游离输尿管并向内侧重新布线，以及膀胱外输尿管再植。
无并发症发生（平均随访10个月）。随访检查仅发现轻度残余肾积水，无同侧反流。美容效果极佳。
我们的新技术使腹腔镜下输尿管造口术逆转得以成功实施。
