Xu Yanbo,Chen Haichen,Ma Lili,et al.Application of Politano-Leadbetter in laparoscopic pneumovesicum approach for ureteral reimplantation for congenital malformation of vesicoureteral junction in children: a report of 10 children[J].Journal of Clinical Pediatric Surgery,,19():741-745,758.[doi:10.3969/j.issn.1671-6353.2020.08.015]
Application of Politano-Leadbetter in laparoscopic pneumovesicum approach for ureteral reimplantation for congenital malformation of vesicoureteral junction in children: a report of 10 children
- Keywords:
- Ureter/TR; Vesico-Ureteral Reflux; Ureteral Diseases
- CLC:
- R617;R726.1;R693+.12
- Abstract:
- Objective To review our institutional experience of pneumocystoscopic Cohen ureteric reimplantation. Methods Retrospective analysis was performed for clinical data of 10 children with congenital malformation of vesicoureteral junction undergoing pneumoeystoscopic Politano-Leadbetter reimplantation between January 2018 and July 2018. There were 6 boys and 4 girls with a mean age of 6.9(1.76-24) months. There were congenital vesicoureteral junction obstruction (n=4)(2 left, 2 right) and vesicoureteral reflux (n=6)(2 unilateral, 4 bilateral). Confirmation was made by voiding cystourethrography. A trocar was inserted into bladder after carbon monoxide was insufflated into bladder through cystoscope. Another 2 trocars were inserted laterally in the same way. Politano-Leadbetter procedure was performed through the lateral trocars. Three-point and one-line principle of urethral opening-ureter opening-new ureteric rupture were employed for accurately locating extraurethral ureter. Ureter was relocated to bladder from a new hole, and a submucosal tunnel is established to the original ureteral orifice. Results All patients underwent pneumoeystoscopic Politano-Leadbetter reimplantation successfully. The mean operative duration was 131(100-185) min for unilateral cases and 174(115-205) min for bilateral cases. There was no dysuria, incisional infection or incisional dehiscence after a removal of urinary catheter. During a follow-up period of 6-12 mouths, there was no occurrence of such complications as fistula, vesicoureteral reflux or vesicoureteral junction obstruction. Conclusion Pneumoeystoscopic Politano-Leadbetter reimplantation simplifies operation course. Preserving a longitudinal ureter similar to physiological state, it is an excellent mini-invasive surgery for pediatric ureteral transplantation.
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Memo
收稿日期:2019-11-27。
作者简介:徐延波,Email:52212137@qq.com