Liu Chao,Zhang Weiping.Surgical complications and managements of ureteropelvic junction obstruction in children[J].Journal of Clinical Pediatric Surgery,,():301-304.[doi:10.3760/cma.j.cn101785-202403060-001]
Surgical complications and managements of ureteropelvic junction obstruction in children
- Keywords:
- Ureteropelvic Junction Obstruction; Intraoperative Complications; Postoperative Complications; Kidney Injury; Child
- Abstract:
- Ureteropelvic junction obstruction (UPJO) is a common urinary malformation in children. And dismembered pyeloplasty has been a "gold standard" for surgery due to its extensive indications,convenient handling and low complication rate. Although overall successful operative rate has surpassed 90%,pediatric urologists are striving to lower the incidence of postoperative complications,prevent the occurrences of high-grade complications,enable a rapid recovery and achieve optimal outcomes. Assessing the severity of renal injury remains a daunting challenge. This review focused upon the causes and managements of surgical complications of UPJO in children.
References:
[1] TekgülS (Chair) S,Dogan HS,Kocvara R,et al.Dilatation of the upper urinary tract (UPJ and UVJ obstruction)[M]//Tekgül S (Chair) S,Dogan HS,Kocvara R,et al.EAU Guidelines on Paediatric Urology.Arnhem:European Association of Urology,2017:49-53.
[2] Sheth K,Puttmann K,Nichols P,et al.Does prophylactic antibiotics post pediatric pyeloplasty reduce the incidence of febrile UTIs?[J].BMC Urol,2023,23(1):133.DOI:10.1186/s12894-023-01301-x.
[3] 中华医学会小儿外科分会泌尿外科学组.先天性肾盂输尿管交界处梗阻诊疗专家共识[J].中华小儿外科杂志,2018,39(11):804-810.DOI:10.3760/cma.j.issn.0253-3006.2018.11.002. Group of Urology,Branch of Pediatric Surgery,Chinese Medical Association:Expert Consensus on Diagnosing and Treating Congenital Ureteropeivic Junction Obstruction[J].Chin J Pediatr Surg,2018,39(11):804-810.DOI:10.3760/cma.j.issn.0253-3006.2018.11.002.
[4] Thomas JC,DeMarco RT,Donohoe JM,et al.Management of the failed pyeloplasty:a contemporary review[J].J Urol,2005,174(6):2363-2366.DOI:10.1097/01.ju.0000180420.11915.31.
[5] Simforoosh N,Ansari Djafari A,Shemshaki H,et al.Mini-laparoscopic management of ureteropelvic junction obstruction in adults and children:a high-volume case series[J].J Laparoendosc Adv Surg Tech A,2019,29(6):747-751.DOI:10.1089/lap.2018.0470.
[6] Gatti JM,Amstutz SP,Bowlin PR,et al.Laparoscopic vs open pyeloplasty in children:results of a randomized,prospective,controlled trial[J].J Urol,2017,197(3 Pt 1):792-797.DOI:10.1016/j.juro.2016.10.056.
[7] Tanash MA,Bollu BK,Naidoo R,et al.Laparoscopic versus open pyeloplasty in paediatric pelvi-ureteric junction obstruction[J].J Paediatr Child Health,2023,59(8):974-978.DOI:10.1111/jpc.16443.
[8] Wein AJ,Kavoussi LR,Partin AW,et al.Campbell-walsh urology[M].11th ed.Philadelphia:Elsevier,2016:3059-3066.
[9] Badawy H,Zoaier A,Ghoneim T,et al.Transperitoneal versus retroperitoneal laparoscopic pyeloplasty in children:randomized clinical trial[J].J Pediatr Urol,2015,11(3):122.e1-122.e6.DOI:10.1016/j.jpurol.2014.11.019.
[10] Panthier F,Lareyre F,Audouin M,et al.Pelvi-ureteric junction obstruction related to crossing vessels:vascular anatomic variations and implication for surgical approaches[J].Int Urol Nephrol,2018,50(3):385-394.DOI:10.1007/s11255-017-1771-z.
[11] 孙宁,张潍平,黄澄如.实用小儿泌尿外科学[M].2版.北京:人民卫生出版社,2023:175-176. Sun N,Zhang WP,Huang CR.Practical Pediatric Urology[M].Edition Ⅱ.Beijing:People’s Medical Publishing House,2023:175-176.
[12] Corbett HJ,Mullassery D.Outcomes of endopyelotomy for pelviureteric junction obstruction in the paediatric population:a systematic review[J].J Pediatr Urol,2015,11(6):328-336.DOI:10.1016/j.jpurol.2015.08.014.
[13] Alhazmi HH.Redo laparoscopic pyeloplasty among children:a systematic review and meta-analysis[J].Urol Ann,2018,10(4):347-353.DOI:10.4103/UA.UA_100_18.
[14] Asensio M,Gander R,Royo GF,et al.Failed pyeloplasty in children:is robot-assisted laparoscopic reoperative repair feasible?[J].J Pediatr Urol,2015,11(2):69.e1-69.e6.DOI:10.1016/j.jpurol.2014.10.009.
[15] Jacobson DL,Shannon R,Johnson EK,et al.Robot-assisted laparascopic reoperative repair for failed pyeloplasty in children:an updated series[J].J Urol,2019,201(5):1005-1011.DOI:10.1016/j.juro.2018.10.021.
Memo
收稿日期:2024-03-31。
基金项目:北京市科委、中关村管委会"医药创新品种及平台培育"专项(Z231100004823034)
通讯作者:张潍平,Email:zhangwpp@163.com