Cao Hualin,Liao Songbai,Chen Xiaoye,et al.Comparison between laparoscopic and robot-assisted laparoscopic Lich-Gregoir ureteral reimplantation[J].Journal of Clinical Pediatric Surgery,2025,(06):519-524.[doi:10.3760/cma.j.cn101785-202502019-004]
Comparison between laparoscopic and robot-assisted laparoscopic Lich-Gregoir ureteral reimplantation
- Keywords:
- Primary Obstructive Megaureter; Vesicoureteral Reflux; Laparoscopy Surgery; Robotic Surgical Procedures; Urologic Surgical Procedures; Treatment Outcome; Child; Comparative Study
- Abstract:
- Objective To compare the clinical efficacy of laparoscopic ureteral reimplantation (LUR) versus robot-assisted laparoscopic ureteral reimplantation (RALUR) for primary obstructive megaureter (POM) and vesicoureteral reflux (VUR) in children. Methods The relevant clinical data were retrospectively reviewed for 52 POM/VUR children undergoing LUR and RALUR between May 2019 and December 2023.Based upon surgical techniques,they were assigned into two groups of LUR (n=21) and RALUR (n=31).Comparative analysis was conducted for assessing inter-group discrepancies in baseline profiles,operative duration,intraoperative volume of blood loss,duration of drainage tubing,length of postoperative hospitalization stay,total hospitalization expense,comfort scores of operators and assistants,postoperative complication rates and surgical success outcomes. Results All surgeries were successfully completed without any conversion into open surgery or serious intraoperative complication.No statistically significant inter-group differences existed in age (P=0.337),gender (P=0.971),affected sideness (P=0.778) and etiological diagnosis (P=0.695).Operative duration was significantly shorter in RALUR group than (compared to LUR group[(109.5±11.3) vs. (149.5±19.3),P<0.001] Operator comfort scores were significantly higher in RALUR group than that in LUR group[(7.3±0.9) vs. (4.5±1.1),P<0.001] .Assistant comfort score was significantly higher in RALUR group than that in LUR group[(7.9±0.7) vs. (3.7±0.6),P<0.001] .Total hospitalization expense was significantly higher in RALUR group than that in LUR group [(7.1±0.6)×104 vs. (3.1±0.4)×104 yuan,P<0.001].No statistically significant inter-group differences existed in intraoperative volume of blood loss [10(10.0,15.0) vs. 10(10.0,15.0) mL,P=0.532),drainage tubing time [(4.7±0.7) vs. (4.5±0.6) day,P=0.239],duration of postoperative hospitalization stay [(6.3±1.6) vs. (6.3±1.0) day,P=0.977],rates of postoperative complications (33.3% vs. 29.0%,P=0.742) and success rate (100% vs. 100%,P=1.000). Conclusions LUR and RALUR are both safe and effective in managing POM and VUR in children.And RALUR offers the advantages of shorter surgical duration and greater comfort for operator and assistant as compared to LUR.
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Memo
收稿日期:2025-2-10。
基金项目:广西自然科学基金(2025GXNSFBA069059);首府地区公立医院高水平临床专科建设示范工程(NM202401)
通讯作者:周辉霞,Email:huixia99999@163.com