Mendrek Mikolaj, Vögeli Thomas Alexander, Bach Christian
Departement of Urology, University Hospital Aachen, Aachen, 52074, Germany.
F1000Res. 2019 Mar 15;8. doi: 10.12688/f1000research.15866.1. eCollection 2019.
Pyeloplasty is one of the most common urological reconstructive interventions. Since the presentation of the first open pyeloplasty by Anderson and Hynes in 1949, the management of ureteropelvic junction obstruction has dramatically developed. The most immense progress was made in the 1990s with the introduction of laparoscopy. A multitude of new minimal surgical techniques have been introduced since then. In the last few years, the innovations were based on refinement of already-existing techniques and technology. With this aim, single-port surgery, three-dimensional vision for laparoscopy, robotic technology, and alternative techniques for creating the anastomosis-like fibrin glue have been introduced. This unsystematic review is timely, and the scientific interest is to present and discuss some of the latest advances in surgical techniques and different approaches for the intra- and post-operative management in pyeloplasty. To the best of our knowledge, this is the only review looking at the recent advances in urological surgical techniques for pyeloplasty during the last few years with a focus on new technology and surgical techniques.
肾盂成形术是最常见的泌尿外科重建手术之一。自1949年安德森和海恩斯首次开展开放性肾盂成形术以来，输尿管肾盂连接部梗阻的治疗取得了显著进展。20世纪90年代随着腹腔镜技术的引入取得了最大的进展。从那时起，引入了许多新的微创外科技术。在过去几年中，创新基于对现有技术和工艺的改进。出于这个目的，引入了单孔手术、腹腔镜三维视觉、机器人技术以及用于创建类似吻合术的纤维蛋白胶等替代技术。这篇非系统性综述很及时，其科学意义在于介绍和讨论肾盂成形术手术技术的一些最新进展以及术中和术后管理的不同方法。据我们所知，这是唯一一篇关注过去几年泌尿外科肾盂成形术手术技术最新进展的综述，重点是新技术和手术技术。
