Bolat Mustafa Suat, Çınar Önder, Akdeniz Ekrem
Department of Urology, Health Sciences University, Samsun Training and Research Hospital.
Turk J Urol. 2017 Dec;43(4):497-501. doi: 10.5152/tud.2017.77775. Epub 2017 Dec 1.
We aimed to show the effect of retrograde JJ stenting and intraoperative antegrade JJ stenting techniques on operative time in patients who underwent laparoscopic pyeloplasty.
A total of 34 patients were retrospectively investigated (15 male and 19 female) with ureteropelvic junction obstruction. Of the patients stentized under local anesthesia preoperatively, as a part of surgery, 15 were retrogradely stentized at the beginning of the procedure (Group 1), and 19 were antegradely stentized during the procedure (Group 2). A transperitoneal dismembered pyeloplasty technique was performed in all patients. The two groups were retrospectively compared in terms of complications, the mean total operative time, and the mean stenting times.
The mean ages of the patients were 31.5±15.5 and 33.2±15.5 years (p=0.09), and the mean body mass indexes were 25.8±5.6 and 26.2.3±8.4 kg/m in Group 1 and Group 2, respectively. The mean total operative times were 128.9±38.9 min and 112.7±21.9 min (p=0.04); the mean stenting times were 12.6±5.4 min and 3.5±2.4 min (p=0.02); and the mean rates of catheterization-to-total surgery times were 0.1 and 0.03 (p=0.01) in Group 1 and 2, respectively. The mean hospital stays and the mean anastomosis times were similar between the two groups (p>0.05).
Antegrade JJ stenting during laparoscopic pyeloplasty significantly decreased the total operative time.
我们旨在展示逆行置入双J管支架术和术中顺行置入双J管支架术对接受腹腔镜肾盂成形术患者手术时间的影响。
对34例输尿管肾盂连接部梗阻患者（15例男性和19例女性）进行回顾性研究。术前在局部麻醉下置入支架的患者，作为手术的一部分，15例在手术开始时逆行置入支架（第1组），19例在手术过程中顺行置入支架（第2组）。所有患者均采用经腹离断性肾盂成形术。对两组患者的并发症、平均总手术时间和平均支架置入时间进行回顾性比较。
第1组和第2组患者的平均年龄分别为31.5±15.5岁和33.2±15.5岁（p = 0.09），平均体重指数分别为25.8±5.6和26.2±8.4kg/m²。平均总手术时间分别为128.9±38.9分钟和112.7±21.9分钟（p = 0.04）；平均支架置入时间分别为12.6±5.4分钟和3.5±2.4分钟（p = 0.02）；第1组和第2组的平均置管时间与总手术时间的比率分别为0.1和0.03（p = 0.01）。两组患者的平均住院时间和平均吻合时间相似（p>0.05）。
腹腔镜肾盂成形术中顺行置入双J管支架术显著缩短了总手术时间。
