Mini-laparoscopic pyeloplasty to treat UPJO in infants.

Abstract

PURPOSE:

The aim of this study was to investigate the safety and clinical efficacy of mini-laparoscopic pyeloplasty in treating ureteropelvic junction obstruction (UPJO) in infants.

MATERIAL AND METHODS:

We retrospectively analysed the clinical data of 66 infants with UPJO from January 2013 to August 2018 at our hospital. They were divided into the laparoscopic surgery group (group A) and the open surgery group (group B), depending on the surgical method.

RESULTS:

The bleeding volume, analgesia duration, postoperative hospitalization duration, and incision length in group A were significantly less than those in group B (p < .05). The incidence of incision dehiscence was 0% in group A and 11.7% in group B (p = .045). At the postoperative follow-up, the incidence of anastomotic stenosis was 6.2% in group A and 5.9% in group B (p = .719). The anteroposterior diameter and glomerular filtration rate were significantly improved at the one-year follow-up, but there was no significant difference between the groups (p > .05).

CONCLUSIONS:

Mini-laparoscopic pyeloplasty to treat UPJO in infants has the same early clinical efficacy and safety as open surgery, and this procedure has the advantages of fewer incisions, less pain, quicker recovery, and better cosmetic outcomes.

• Authors: Xu Cui, Yuan-Bin He, Wen-Hua Huang, Liu Chen, Jian-Cai Chen, Chao-Ming Zhou
• Journal: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy (Minim Invasive Ther Allied Technol) Vol. 31 Issue 3 Pg. 473-478 (Mar 2022) ISSN: 1365-2931 [Electronic] England
• PMID: 33016819 (Publication Type: Journal Article)

Topics

• Humans
• Infant
• Kidney Pelvis (surgery)
• Laparoscopy (methods)
• Retrospective Studies
• Treatment Outcome
• Ureter (surgery)
• Ureteral Obstruction (surgery)
• Urologic Surgical Procedures (methods)