Li Ning,Zhou Xuefeng,Yuan Jiyan,et al.Robot-assisted laparoscopic pyeloplasty in children:a report of 9 cases[J].Journal of Clinical Pediatric Surgery,,18():294-298.[doi:10.3969/j.issn.1671-6353.2019.04.009]
Robot-assisted laparoscopic pyeloplasty in children:a report of 9 cases
- CLC:
- R857.3;R692.2;R692.7
- Abstract:
- Objective To analyze our preliminary data on robotic-assisted procedures in pediatric urology so as to provide rationales for future robotic-assisted procedures in pediatric urology.Methods From August 2015 to February 2016,9 pediatric patients underwent robotic-assisted laparoscopic pyeloplasty.There were 8 boys and 1 girl with a mean age of 7.6 (5.1-13.1) years.Clinical data was retrospectively analyzed.Results All 9 procedures were successfully completed without a conversion into open surgery.The average operative duration was 162 (106-213) min.The causes were ureteropelvic junction stricture (n=4),ureteropelvic junction polyp (n=2),compression of aberrant renal vessel (n=1) and recurrent ureteropelvic junction stricture after initial operation (n=2).The average length of postoperative hospital stay was 8.7 days and the duration of postoperative follow-up period 15-27 months.So far,no complication has been noticed.Conclusion A robot can achieve flexible handling,finer suture and easier learning.However,in comparison with laparoscopy,robotic-assisted surgery also has such disadvantages as a higher cost and larger Trocar.If its indications are strictly controlled,robotic-assisted surgery is an effective solution for pediatric pyeloplasty.
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Memo
收稿日期:2017-10-16。
基金项目:国家自然科学基金（编号：81601265）
通讯作者:张文,Email:wzhang@vip.sohu.com