Huang Yichen,Xie Hua,Lv Yiqing,et al.Preliminary experience of robotic assisted laparoscopic ureteral reimplantation in children with primary vesicoureteral reflux[J].Journal of Clinical Pediatric Surgery,,19():150-154.[doi:10.3969/j.issn.1671-6353.2020.02.012]
Preliminary experience of robotic assisted laparoscopic ureteral reimplantation in children with primary vesicoureteral reflux
- Keywords:
- Robotics; Laparoscopy; Vesico-Ureteral Reflux/SU; Ureteral Diseases/SU; Child
- CLC:
- R726.1;R693+.2
- Abstract:
- Objective To summarize our preliminary surgical experiences and short-term outcomes of robotic assisted laparoscopic ureteral reimplantation (RALUR) in children with primary vesicoureteral reflux.Methods From May 2014 to February 2019,the clinical data of children undergoing RALUR Lich-Greqoir were retrospectively analyzed.There were 10 boys and 1 girl with an average age of 9.4(3.2-18) years.The involved side was bilateral (n=4) and unilateral (n=7).The degrees of vesicoureteral reflux (VUR) were grade Ⅱ-Ⅳ.Results All cases underwent Lich-Gregoir procedure.The average operative durations were 152(132-175) min for unilateral cases and 257(249-264) min for bilateral cases.The average postoperative hospital stay was 4.5(3-6) days.During an average follow-up period of 2.5(0.5-5.3) years,none had any febrile urinary infection.Ultrasound showed decreased hydronephrosis.And 9/11 cases (4/4 bilateral cases and 5/7 unilateral cases) completed voiding cystourethrogram.There was one recurrent bilateral case.Conclusion RALUR is both safe and effective for repairing VUR in children aged >3 years.
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Memo
收稿日期:2019-09-26。
基金项目:上海市级医院新兴前沿技术联合攻关项目（编号：SHDC12010108）
通讯作者:谢华,Emai:drxiehua@163.com