经脐单部位腹腔镜与传统经腹腹腔镜肾盂成形术的疗效比较

Comparison of conventional and transumbilical single-port laparoscopic pyeloplasty for the treatment to hydronephrosis in children

目的比较经脐单部位腹腔镜与普通前手术入路腹腔镜肾盂成形术治疗儿童肾盂输尿管连接部梗阻的手术效果。方法收集2014年1月至2015年11月本院诊治的112例肾积水患儿资料,其中传统经腹腹腔镜手术52例(A组),经脐单部位腹腔镜手术60例(B组),比较两组在手术时间、术中出血量、引流管留置情况、术后住院天数、手术成功率等方面的差别。结果手术均获得成功,两组均无中转开放手术,两组的手术时间、术中出血量、术后住院时间等方面差异均无统计学意义。结论传统经腹腹腔镜肾盂成形术及经脐单部位腹腔镜肾盂成形术治疗小儿肾积水均属安全可行的方法,但经脐单部位腹腔镜较传统经腹腹腔镜肾盂成形术具有操作空间更理想、外观美容效果更好的优势。

Objective To compare the clinical effect and safety of conventional and transumbilical single-port laparoscopic pyeloplasty for the treatment of hydronephrosis（UPJO）in children. Method112 children with hydronephrosis between January 2014 and November 2015 were collected to clinical research. Conventional laparoscopic pyeloplasty was applied in 52 cases（Group A）,and transumbilical singleport laparoscopic pyeloplasty was applied in 60 cases（Group B）.The operative time, intraoperative blood lost, duration of the urethral catheter time, the postoperative hospital stay and the postoperative result were compared between the 2 groups. Results All operations were successful without conversion to open surgery.There were no significant diferences in the operative time, the intraoperative blood lost and the postoperative hospital stay between two groups. Conclusions Conventional and transumbilical single-portlaparoscopic pyeloplastyin treatment of hydronephrosis in children are safe and feasible, but transumbilical single-port laparoscopic pyeloplasty has more operating space and better cosmetic effect.