临床小儿外科杂志2024，Vol.23Issue(5)：469-473,5.DOI:10.3760/cma.j.cn101785-202302043-013
腹腔镜下重复输尿管端侧吻合术治疗重复肾的疗效分析
Efficacy of laparoscopic end-to-side ureterostomy for duplicate kidney
桂萌 1张磊 1贺庆豹 1王浩 1张玲玲 1贺红嘉 1李开升1
作者信息
- 1. 山东大学附属儿童医院(济南市儿童医院)泌尿微创外科,济南 250022
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of laparoscopic repeat ureteral end-side anastomo-sis for complete repeat suprarenal ureteral dilatation or ectopic opening and summarize the related operational ap-proaches and experienoes.Methods From October 2018 to August 2022,the relevant clinical data were retro-spectively reviewed for 23 children with complete duplex kidney undergoing laparoscopic end-to-side ureterosto-my.There were 9 boys and 14 girls with a median age of 15(8-26)month.The major clinical manifestations in-cluded 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 diame-ter of upper renal pelvis was(15.22±9.19)and the widest diameter of upper ureter(13.91±5.98);after op-eration,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 repeti-tive upper ureteral lesions.As a simple operation with few complications,it is worthy of wider popularization.关键词
腹腔镜/输尿管端侧吻合术/完全型重复肾/重复上输尿管扩张/外科手术/儿童Key words
Laparoscopy/Ureteroureterostomy/Complete Duplicated Kidney/Dilatation Of Repetitive Upper Ureter/Surgical Procedures,Operative/Child引用本文复制引用
桂萌,张磊,贺庆豹,王浩,张玲玲,贺红嘉,李开升..腹腔镜下重复输尿管端侧吻合术治疗重复肾的疗效分析[J].临床小儿外科杂志,2024,23(5):469-473,5.
