Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, China.
Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
BMC Urol. 2021 Sep 15;21(1):128. doi: 10.1186/s12894-021-00893-6.
To investigate the feasibility and efficacy of carrying out pediatric laparoscopic partial cystectomies (LPC) when treating benign bladder tumors and urachal cysts.
Retrospectivey analyzing 4 clinical cases involving children with bladder tumors, which were collected from October 2017 to December 2018. In these clinical cases, there were 3 male children and 1 female child, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. An intraperitoneal laparoscopic partial cystectomy was performed in the treatment of 3 of these patients with benign bladder tumors and in 1 patient with an urachal cyst. The surgical procedures included a partial cystectomy and a complete intracavitary bladder suture.
All 4 cases were successful and no operation was transferred to opensurgery. The operation time was 100-120 min, with an average time of 108 min. The intraoperative blood loss was 10-20 ml, with an average loss of 15 ml. 6 h after the operation, the patients still maintained a fluid diet and 1 case of hematuria had occurred, with the catheter removed 12 days after the operation. No postoperative urine leakage, intestinal adhesion or intestinal obstruction occurred, and the average postoperative hospitalization time was 14 days.
Laparoscopic partial cystectomy is a safe and feasible method to be used for the treatment of benign bladder tumors and urachal cysts. It presents the advantages of being minimally invasive, and having a quick recovery and short hospitalization time. It is an alternative surgical method for the treatment of pediatric benign bladder tumors.
探讨开展小儿腹腔镜膀胱部分切除术（LPC）治疗小儿良性膀胱肿瘤和脐尿管囊肿的可行性和疗效。
回顾性分析 2017 年 10 月至 2018 年 12 月收治的 4 例膀胱肿瘤患儿的临床资料，其中男 3 例，女 1 例；年龄 4.5～9.4 岁，平均 6.5 岁。3 例良性膀胱肿瘤患儿采用经腹腔腹腔镜膀胱部分切除术，1 例脐尿管囊肿患儿采用经腹腔腹腔镜膀胱部分切除术+完全腔内膀胱缝合术。
4 例均顺利完成手术，无中转开放手术，手术时间 100～120 min，平均 108 min；术中出血量 10～20 ml，平均 15 ml。术后 6 h 均予流质饮食，1 例出现血尿，术后 12 d 拔除尿管。术后无尿漏、肠粘连及肠梗阻等并发症，平均术后住院时间 14 d。
腹腔镜膀胱部分切除术治疗小儿良性膀胱肿瘤和脐尿管囊肿安全、可行，具有微创、恢复快、住院时间短的优点，是小儿良性膀胱肿瘤的一种可供选择的手术方法。
