Yin Xiaoming,Xu Zhuofan,Yang Yi.Evaluating the outcomes of differential surgical management of non-functioning upper pole renal moieties in duplex collecting systems:a single-center retrospective cohort study[J].Journal of Clinical Pediatric Surgery,,20():325-329.[doi:10.12260/lcxewkzz.2021.04.005]
Evaluating the outcomes of differential surgical management of non-functioning upper pole renal moieties in duplex collecting systems:a single-center retrospective cohort study
- Keywords:
- Duplex Kidney; Renal Insufficiency; Surgical Procedures; Operative; Treatment Outcome; Cohort Studies
- CLC:
- R726.9;R692.2;R692.1+7
- Abstract:
- Objective To evaluate the outcomes of differential surgical management of non-functioning upper pole renal moieties in duplex collecting systems.Methods From January 2008 to June 2017, retrospective analysis was performed for 49 children with duplicate kidney malformation and upper renal function <10%.According to whether nephron-sparing surgery was performed, their complications and reoperative rates were compared.Results No significant difference existed in complication or reoperative rate between upper pole preservation and heminephrectomy groups(22.7% vs.3.7%, P=0.114; 9.1% vs.0.0%, P=0.196).Compared with upper pole heminephrectomy group, the median operative age was younger in upper pole preservation group(16.5 vs.33.0 months, P=0.006).No significant inter-group difference existed in gender, sideness, whether associated with ureterocele/ectopic ureter, preoperative renal function or preoperative ureteral diameter.Conclusion If upper pole function is less than 10%, operation may be.performed according to the preferences of urologists and parents.
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Memo
收稿日期:2019-04-05。
基金项目:2020年辽宁省重点研发计划联合计划项目（编号：2020JH 2/10300145）
通讯作者:杨屹,Email:18940251106@163.com