Journal of Developmental Medicine(Electronic Version)  2016, Vol. 4 Issue (3): 165-169 DOI: |
|
|
|
|
|
|
| Comparison of efficacy of transumbilical single-site laparoscopic pyeloplasty between transmesenteric and retrocolic approaches in children |
| TAO Tian, ZHOU Hui-xia, WANG Chao, et al
|
| TAO Tian, ZHOU Hui-xia, WANG Chao, MA Li-fei, LIU De-hong, ZHOU Xiao-guang, LUO Xiao-long, CAO Lin-hua (Department of Urology, Bayi Children’s Hospital Affiliated to Chinese People's Liberation Army General Hospital, Beijing 100700, China) |
|
|
|
|
Abstract Objective To compare the efficacy of transumbilical single-site laparoscopic pyeloplasty between transmesenteric and retrocolic approaches in children, and to assess the value of transmesenteric approach. Methods From January to December 2014, the clinical data of patients with ureteropelvic junction obstruction who received transumbilical single-site laparoscopic pyeloplasty were analyzed in Bayi Children's Hospital. There were 30 cases in the transmesenteric approach group (group A) and 45 cases in the retrocolic approach group (group B). The operation time, perioperative bleeding, postoperative intestinal recovery time, postoperative hospital stay, incidence of postoperative complications and rate of successful operation were compared between the two groups. Chi-square test and group t test were used for statistical analysis. Results In group A and group B, there were statistical difference about the operation time ［(91.0±14.0) vs (114.2±10.3) min, t=2.378］, perioperative bleeding ［(8.3±2.2) vs (15.9±2.8) ml, t=1.991］, postoperative intestinal recovery time［(18.5±7.0) vs (26.8±6.9) d, t=1.782］, and postoperative hospital stay［(10.2±2.5) vs (13.5±1.8) d, t=1.993］, and the results of group A were better than those in group B (all P<0.05). There was no statistical difference about the rate of successful operation ［96.7%(29/30) vs 95.6%(43/45), χ2=0.973, P>0.05］. Conclusions Transumbilical single-site laparoscopicpyeloplasty via transmesenteric is safe and effective for ureteropelvic junction obstruction.
|
|
Received: 22 February 2016
Published: 26 January 2018
|
|
|
| No related articles found! |
|
|
|
|
