Strother Marshall C, Mucksavage Phillip
Division of Urology, University of Pennsylvania, 3400 Spruce Street, Urology, 3 PCAM West, Tm 3-334W, Philadelphia, PA, 19104-5127, USA.
Division of Urology, University of Pennsylvania, 800 Walnut Str, 19th Floor, Philadelphia, PA, 19107, USA.
Curr Urol Rep. 2016 May;17(5):39. doi: 10.1007/s11934-016-0593-3.
Ureteropelvic junction obstruction (UPJO) is a common congenital abnormality that often presents in adulthood. Open dismembered pyeloplasty was considered the gold standard for the management of this condition; however, recent advancements in laparoscopic and robotic surgery have dramatically shifted the landscape to more minimally invasive techniques. A literature search of ureteropelvic junction obstruction, pyeloplasty, endopyelotomy, laparoscopic pyeloplasty, robotic pyeloplasty, and microlaparoscopic pyeloplasty was performed. A focus was placed on literature published since 2013. Minimally invasive laparoscopic and robotic techniques have become the gold standard for the management of UPJO. With the rise of robotic pyeloplasty, open repairs are becoming less frequent, while endoscopic treatments have remained stable. Minimally invasive (robotic) techniques have become the gold standard for the management of UPJO. Newer, even less-invasive techniques are also showing promise, but technical challenges still exist.
肾盂输尿管连接部梗阻（UPJO）是一种常见的先天性异常，常于成年期出现。开放性离断性肾盂成形术曾被认为是治疗该病的金标准；然而，腹腔镜和机器人手术的最新进展已极大地改变了局面，转向了更微创的技术。我们对肾盂输尿管连接部梗阻、肾盂成形术、肾盂内切开术、腹腔镜肾盂成形术、机器人肾盂成形术和微型腹腔镜肾盂成形术进行了文献检索。重点关注了2013年以来发表的文献。微创腹腔镜和机器人技术已成为治疗UPJO的金标准。随着机器人肾盂成形术的兴起，开放性修复的频率越来越低，而内镜治疗则保持稳定。微创（机器人）技术已成为治疗UPJO的金标准。更新的、侵入性更小的技术也显示出前景，但技术挑战仍然存在。
