Department of Gynaecology and Obstetrics, Women and Children's Hospital of Ningbo University (South Section), Ningbo, 315012, China.
Department of Pediatric Urology, Women and Children's Hospital of Ningbo University (North Section), Ningbo, 315031, China.
J Pediatr Urol. 2024 Oct;20(5):1006-1007. doi: 10.1016/j.jpurol.2024.07.010. Epub 2024 Jul 15.
Laparoscopic ureteral reimplantation has gained increasing popularity in treating pediatric primary vesicoureteral reflux (VUR) and obstructive megaureter (OM). However, it is technically challenging with a relatively low success rate compared to open surgery. Here we designed a hybrid technique which incorporates laparoscopic surgery and pneumovesical ureteral reimplantation. From 2023 February to 2024 February, five boys and four girls underwent the hybrid reimplantation smoothly. There were seven children with VUR and two with OM. Patient age ranged from eight months to ten years. The mean time was 201.5 min (range 155-240 min) for unilateral operation and 260 min for bilateral operation. Follow-up ranged from 6.4 to 18.7 months. All patients remained asymptomatic, with voiding cystourethrogram showing cure or urinary ultrasonography showing significant improvement. In conclusion, the hybrid laparoscopic ureteral reimplantation appeared to be a simple and effective minimally invasive surgery for treating primary VUR and OM in children.
腹腔镜输尿管再植术在治疗小儿原发性膀胱输尿管反流（VUR）和梗阻性巨输尿管（OM）方面越来越受欢迎。然而，与开放手术相比，它在技术上具有挑战性，成功率相对较低。在这里，我们设计了一种结合腹腔镜手术和经皮膀胱输尿管再植术的混合技术。2023 年 2 月至 2024 年 2 月，5 名男孩和 4 名女孩顺利接受了混合再植术。其中 7 例为 VUR，2 例为 OM。患者年龄 8 个月至 10 岁。单侧手术的平均时间为 201.5 分钟（范围 155-240 分钟），双侧手术为 260 分钟。随访时间为 6.4 至 18.7 个月。所有患者均无症状，排尿性膀胱尿道造影显示治愈或超声检查显示明显改善。总之，对于小儿原发性 VUR 和 OM，腹腔镜输尿管再植术是一种简单有效的微创治疗方法。
