Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China.
Minim Invasive Ther Allied Technol. 2022 Mar;31(3):473-478. doi: 10.1080/13645706.2020.1826973. Epub 2020 Oct 5.
The aim of this study was to investigate the safety and clinical efficacy of mini-laparoscopic pyeloplasty in treating ureteropelvic junction obstruction (UPJO) in infants.
We retrospectively analysed the clinical data of 66 infants with UPJO from January 2013 to August 2018 at our hospital. They were divided into the laparoscopic surgery group (group A) and the open surgery group (group B), depending on the surgical method.
The bleeding volume, analgesia duration, postoperative hospitalization duration, and incision length in group A were significantly less than those in group B ( < .05). The incidence of incision dehiscence was 0% in group A and 11.7% in group B ( = .045). At the postoperative follow-up, the incidence of anastomotic stenosis was 6.2% in group A and 5.9% in group B ( = .719). The anteroposterior diameter and glomerular filtration rate were significantly improved at the one-year follow-up, but there was no significant difference between the groups ( > .05).
Mini-laparoscopic pyeloplasty to treat UPJO in infants has the same early clinical efficacy and safety as open surgery, and this procedure has the advantages of fewer incisions, less pain, quicker recovery, and better cosmetic outcomes.
本研究旨在探讨迷你腹腔镜肾盂成形术治疗婴儿肾盂输尿管连接部梗阻（UPJO）的安全性和临床疗效。
我们回顾性分析了 2013 年 1 月至 2018 年 8 月我院收治的 66 例 UPJO 婴儿的临床资料。根据手术方法将其分为腹腔镜手术组（A 组）和开放手术组（B 组）。
A 组的出血量、镇痛时间、术后住院时间和切口长度明显少于 B 组（<0.05）。A 组切口裂开的发生率为 0%，B 组为 11.7%（=0.045）。术后随访时，A 组吻合口狭窄的发生率为 6.2%，B 组为 5.9%（=0.719）。在术后 1 年随访时，前后径和肾小球滤过率均明显改善，但两组间无显著差异（>0.05）。
迷你腹腔镜肾盂成形术治疗婴儿 UPJO 的早期临床疗效和安全性与开放手术相同，且具有切口少、疼痛轻、恢复快、美容效果好等优点。
