机器人辅助腹腔镜下儿童肾盂成形术的初步探讨
궤기인보조복강경하인동신우성형술적초보탐토
Preliminary results of robotic-assisted laparoscopic pyeloplasty in children
  • 万方数据
    中华泌尿外科杂志 중화비뇨외과잡지
    Chinese Journal of Urology
    2015年 10期 721-725 ,共5页

    吕逸清%谢华%黄轶晨%许传亮%余玲%李晓溪%陈艳%丁志%杨刚刚%孙莉%孙会振%陈方%孙颖浩

    려일청%사화%황질신%허전량%여령%리효계%진염%정지%양강강%손리%손회진%진방%손영호

    儿童%机器人%腹腔镜%肾积水%肾盂输尿管连接处梗阻 兒童%機器人%腹腔鏡%腎積水%腎盂輸尿管連接處梗阻
    인동%궤기인%복강경%신적수%신우수뇨관련접처경조
    Child%Robotics%Laparoscopes%Hydronephrosis%Ureteropelvic junction obstruction
    目的：总结机器人辅助腹腔镜下儿童肾盂成形术的经验，探讨此术式的疗效及安全性。方法回顾性分析2014年1—8月6例行达芬奇系统辅助腹腔镜下肾盂成形术（ Anderson-Hynes术式）的患儿资料。6例均为男性，年龄4～12岁，平均9岁。患儿均经术前影像学检查诊断为肾盂输尿管连接处梗阻，狭窄均位于左侧。结果6例均在达芬奇系统辅助腹腔镜下顺利完成左侧肾盂成形术，术中无合并症，无中转开放手术。手术时间175～269 min，平均216 min，其中缝合时间30～60 min，平均45 min。估计出血量＜15 ml。术后恢复良好，术后平均住院4．5 d。出院后1个月拔除双J管。随访7～14个月，平均10个月，未发生狭窄复发、肾盂肾炎、肾萎缩等合并症。结论机器人辅助腹腔镜下肾盂成形术可以安全、有效地应用于4岁以上儿童肾盂输尿管连接处狭窄的治疗。
    목적：총결궤기인보조복강경하인동신우성형술적경험，탐토차술식적료효급안전성。방법회고성분석2014년1—8월6례행체분기계통보조복강경하신우성형술（ Anderson-Hynes술식）적환인자료。6례균위남성，년령4～12세，평균9세。환인균경술전영상학검사진단위신우수뇨관련접처경조，협착균위우좌측。결과6례균재체분기계통보조복강경하순리완성좌측신우성형술，술중무합병증，무중전개방수술。수술시간175～269 min，평균216 min，기중봉합시간30～60 min，평균45 min。고계출혈량＜15 ml。술후회복량호，술후평균주원4．5 d。출원후1개월발제쌍J관。수방7～14개월，평균10개월，미발생협착복발、신우신염、신위축등합병증。결론궤기인보조복강경하신우성형술가이안전、유효지응용우4세이상인동신우수뇨관련접처협착적치료。
    Objective To evaluate the feasibility and outcomes of robotic-assisted laparoscopic pyeloplasty in children .Methods A retrospective study was performed in patients who underwent robotic-assisted laparoscopic pyeloplasty ( Anderson-Hynes ) at our institution between January 2014 to August 2014.Totally 6 boys were diagnosed as left ureteropelvic junction obstruction depending on the symptoms and radiographic studies .The mean age was 9 years ( range 4 -12 years ) .Results The procedure was performed successfully without conversion to open surgery in all of the cases .Mean operative time was 216 min (range 175-269 min), with a mean robotic anastomosis time of 45 min (range 30-60 min).Mean estimated blood loss was less than 15 ml.The mean hospitalization was 4.5 days.Mean follow-up period was 10 months ( range 7 -14 months ) .There were no perioperative complications , and recovery was uncomplicated (without recurrence, pyelonephritis, nephrarctia) in all of the patients.Conclusion Robotic-assisted laparoscopic pyeloplasty can be safely performed in children older than 4-year-old with ureteropelvic junction obstruction .
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문