Gui Meng,Zhang Lei,He Qingbao,et al.Efficacy of laparoscopic end-to-side ureterostomy for duplicate kidney[J].Journal of Clinical Pediatric Surgery,,():469-473.[doi:10.3760/cma.j.cn101785-202302043-013]
Efficacy of laparoscopic end-to-side ureterostomy for duplicate kidney
- Keywords:
- Laparoscopy; Ureteroureterostomy; Complete Duplicated Kidney; Dilatation Of Repetitive Upper Ureter; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the clinical efficacy of laparoscopic repeat ureteral end-side anastomosis for complete repeat suprarenal ureteral dilatation or ectopic opening and summarize the related operational approaches and experiences.Methods From October 2018 to August 2022,the relevant clinical data were retrospectively reviewed for 23 children with complete duplex kidney undergoing laparoscopic end-to-side ureterostomy.There were 9 boys and 14 girls with a median age of 15(8-26) month.The major clinical manifestations included urinary leakage,febrile urinary tract infection and a combination of both.Anteroposterior diameter of upper renal pelvis and diameter of upper ureter were measured before and after operation.The curative outcomes and complications were recorded.Results All laparoscopic procedures were successfully performed and followed up completely.Operative duration was 100(90-120) min and ureteral stent indwelled for 36(32-41) days.After operation,all preoperative symptoms disappeared.Blood pressure remained normal before and after operation.There was no onset of lower ureteral dilatation before and after operation.Before operation,anteroposterior diameter of upper renal pelvis was (15.22±9.19) and the widest diameter of upper ureter (13.91±5.98); after operation,anteroposterior diameter of upper renal pelvis was (6.87±6.36) and the widest diameter of upper ureter (3.83±1.95).Anteroposterior diameter of upper renal pelvis and the widest diameter of upper ureter before and after operation were compared (P<0.05).The differences were statistically significant (P<0.05).None of them showed recurrent fever,abdominal pain or vomiting.No dilation occurred in lower ureter or lower renal pelvis.Conclusions Laparoscopic repeated end-to-side ureteroureterostomy is efficacious for children with complete repetitive upper ureteral lesions.As a simple operation with few complications,it is worthy of wider popularization.
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Memo
收稿日期:2023-02-27。
通讯作者:李开升,Email: lkshxl@163.com