Brunet P, Leroy J, Danjou P
Service urologie-C.H. Lens, Bully-les-Mines.
Chirurgie. 1996;121(6):415-7.
From may 1994 to may 1995, eight consecutive patients with symptomatic congenital ureteropelvic junction syndrome (UPJS) were treated by pyeloplasty as described by Anderson, Hynes and Küss by laparoscopic surgery. Three patients had a lower pole artery crossing the anterior surface of the junction and two had a giant renal pelvis. The mean operating time was 120 minutes (min: 90 min; max: 147 min) and the mean hospital stay in the absence of complications (one case) was 3.5 days (min: 1.5 day; max: 8 days). This one complication was due to a postoperative fistula resulting from a technical error requiring an additional fortnight in hospital. All the patients are evaluable at three months. All are asymptomatic and the radiological results showed frank improvement in seven out of eight cases, while the dynamic appearance was improved in the other case. UPJS can be treated by laparoscopic surgery according to proven surgical principles, provided it is performed in a perfectly equipped operating room, by a surgeon and operating team experienced in this type of surgery.
1994年5月至1995年5月，8例有症状的先天性肾盂输尿管连接部综合征（UPJS）患者接受了Anderson、Hynes和Küss描述的腹腔镜肾盂成形术治疗。3例患者有下极动脉穿过连接部前表面，2例有巨大肾盂。平均手术时间为120分钟（最短：90分钟；最长：147分钟），无并发症（1例）的患者平均住院时间为3.5天（最短：1.5天；最长：8天）。这一并发症是由于技术失误导致术后瘘管形成，需要再住院两周。所有患者在三个月时均可评估。所有患者均无症状，影像学结果显示8例中有7例明显改善，另一例动态表现也有所改善。只要在设备完善的手术室由有此类手术经验的外科医生和手术团队进行，UPJS可根据已证实的手术原则通过腹腔镜手术治疗。
