Alqarni Naif Hajar, Alyami Fahad Ali, Alshayie Mohammed Abdullah, Abduldaem Alhasan Mohamed, Sultan Mohammed, Almaiman Sultan Sulaiman, Alsufyani Hazim Mohammed, Abunohaiah Ibrahim Sami
Department of Urology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Pediatric Surgery and Urology Department, Maternity and Children Hospital, Makkah, Saudi Arabia.
Urol Ann. 2024 Jul-Sep;16(3):215-217. doi: 10.4103/ua.ua_101_23. Epub 2024 Jul 3.
Ureteropelvic junction obstruction (UPJO) is the most common cause of antenatal hydronephrosis. The incidence is around 1: 750-1500 live births. The standard treatment for (UPJO) is open pyeloplasty (OP) with a high success rate of 90%-95%. In the last 20 years, minimal invasive pyeloplasty (MIP) became an excellent alternative technique to OP which was historically the standard of care.
The study participants were male and female patients aged 14 years old or less who had undergone open/minimally invasive pyeloplasty during 2015-2020 and who had at least 1-year follow-up after surgery. The data were collected retrospectively from patients' charts. The patients were categorized into two cohort groups: OP and on the other arm minimally invasive pyeloplasty (robotic/laparoscopic) comparing the outcomes as a 1ry endpoint. 2ry endpoints were hospital stay, duration of surgery, and anteroposterior diameter of renal ultrasound.
A total of 133 patients were included in the study. Eighty-four underwent MIP while 49 patients underwent OP. 1ry endpoint was the success rate in both groups. The success rate was 94% (: 79) and 98% (: 48) in patients who underwent MIP and OP, respectively. <0.05 is considered significant.
Open and minimally invasive pyeloplasty are comparable in terms of success rate. However, OP was associated with shorter hospital stays and shorter operative times.
肾盂输尿管连接部梗阻（UPJO）是产前肾积水最常见的原因。发病率约为1:750 - 1500活产儿。UPJO的标准治疗方法是开放性肾盂成形术（OP），成功率高达90% - 95%。在过去20年中，微创肾盂成形术（MIP）成为OP的一种优秀替代技术，而OP在历史上一直是治疗的标准。
研究参与者为2015年至2020年期间接受开放性/微创肾盂成形术且术后至少有1年随访的14岁及以下男性和女性患者。数据从患者病历中回顾性收集。患者被分为两个队列组：OP组和另一组微创肾盂成形术（机器人/腹腔镜）组，将结果作为主要终点进行比较。次要终点为住院时间、手术时长和肾脏超声前后径。
共有133名患者纳入研究。84例接受MIP，49例接受OP。主要终点是两组的成功率。接受MIP和OP的患者成功率分别为94%（:79）和98%（:48）。<0.05被认为具有显著性。
开放性和微创肾盂成形术在成功率方面具有可比性。然而，OP与更短的住院时间和更短的手术时间相关。
