小切口肾盂成形术的发展现状与进展

Development and progress of small incision pyeloplasty

肾盂输尿管连接部梗阻肾积水可导致患儿肾脏结构改变及肾功能损害,及早手术干预利于肾脏结构改善及功能恢复。传统开放性肾盂成形术切口大、术后恢复时间长,而腹腔镜肾盂成形术学习曲线长、操作难度大,手术时间和全身麻醉维持时间长,均对患儿不利。小切口肾盂成形术结合了开放性肾盂成形术手术时间短、麻醉持续时间短、学习曲线短及腹腔镜肾盂成形术手术切口小、术后恢复更快、美容效果好的优势,腹腔镜联合小切口肾盂成形术则保证了手术全程可视化,提高了手术精度、手术安全性及可靠性,适用于婴幼儿、儿童等小儿患者。

Hydronephrosis caused by ureteropelvic junction obstruction can lead to renal structural changes and renal function damage in children.Early surgical intervention is beneficial to the improvement of renal structure and function recovery.Traditional open pyeloplasty has large incision and long postoperative recovery time,while laparoscopic pyeloplasty has long learning curve,difficult operation,long operation time and maintenance time under general anesthesia,which are not conducive to children.Small-incision pyeloplasty combines the advantages of open pyeloplasty with short operation time,short duration of anesthesia and short learning curve,and laparoscopic pyeloplasty with small incision,faster postoperative recovery and good cosmetic effect.Laparoscopic pyeloplasty with small incision ensures the visualization of the whole operation,improves the surgical accuracy,safety and reliability,and is suitable for infants,children and other pediatric patients.