Qin Daorui,Tang Yunman,Mao Yu,et al.The applied study of “ureter pulls out technique” in laparoscopic dismembered AndersonHynes pyeloplasty:a preliminary report.[J].Journal of Clinical Pediatric Surgery,,17():219-222.
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The applied study of “ureter pulls out technique” in laparoscopic dismembered AndersonHynes pyeloplasty:a preliminary report.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 03 Page: 219-222 Column: 论著 Date of publication: 2018-03-28
Author(s):
Qin Daorui; Tang Yunman; Mao Yu; Wang Xuejun; Chen Shaoji.
Pediatric Surgery Department of Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital，Chengdu 610072，China.
Keywords:
Ureter;  Hydronephrosis;  Surgical Procedures;  Operative;  Laparoscopes
Document code:
A
Abstract:
ObjectiveTo evaluate the experience and result of the “ureter pulls out technique” in laparoscopic dismembered AndersonHynes pyeloplasty.Methods15 patients (8 males and 7 females) were retrospectively reviewed between November 2015 and May 2016，who had been diagnosed with hydronephrosis and received laparoscopic dismembered AndersonHynes pyeloplasty.The operations were carried out under general anaesthesia. During the operation，the “ureter pulls out technique” was employed.The clinical data was recorded，including time consuming，blood lose，length of hospital stay after operation and complication.ResultsAll 15 patients received laparoscopic ureteropyeloplasty，and “ureter pulls out techniques” were employed during operations. All operations went smoothly without conversion record. Average time consuming:143min (range 116~244 min).Blood lose:5 mL(range 2~15 mL). A UVJO case was recorded for the unsuccessful seat of “double J” stent during operation.Average hospital stay length was 7 d (range 5~10 d). Ultrasonography study demonstrated a significantly relieve of hydronephrosis after operation for one month.ConclusionThe “ureter pulls out technique” is safe and feasible in laparoscopic dismembered AndersonHynes pyeloplasty. The accurate haptic feedback can improve the positive detective ratio of the ureter distal lesion; also improve the accuracy of treating UPJ，reducing the difficulty for beginners. It is worthy of clinical application.
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