摘要
探讨常规器械经自制手套port单孔腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻的可行性和安全性,评估其临床应用价值。回顾性分析40例肾盂输尿管连接部梗阻患儿,其中左侧33例,右侧7例。所有病例由同一术者完成经脐单孔腹腔镜离断式肾盂成形术,取环脐缘皱褶处1.5~2 cm切口,置入自制手套port,双手常规器械操作。术后3个月超声提示肾盂前后径明显减少,肾皮质厚度明显增加。静脉尿路造影可见吻合口通畅,脐周无明显手术瘢痕。采用常规器械经自制手套port单孔腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻,效果确切,安全性好,术后美容效果满意,值得推广。
To explore the feasibility and safety of laparoendoscopic single-site pyeloplasty using conventional instruments and homemade gloves port in the treatment of ureteropelvic junction obstruction in children,so as to evaluate its clinical value. A retrospective analysis of 40 children with ureteropelvic junction obstruction was carried out,including 33 cases of the left and 7 cases of the right side. All cases underwent transumbilical laparoendoscopic single-site dismembered pyeloplasty by the same surgeon,a 1. 5 - 2 cm incision at the edge of the umbilical fold was made,followed by the insertion of homemade gloves port,and both hands were operated using routine instruments.Three months after operation,the anterior and posterior diameters of the renal pelvis were significantly decreased and the renal cortex thickness was increased significantly. The patency of the anastomotic stoma was observed by intravenous urography,and there was no obvious scar around the umbilicus. The application of laparoendoscopic single-site pyeloplasty using conventional instruments and homemade gloves port is effective and safe in the treatment of ureteropelvic junction obstruction in children,accompanied by satisfied cosmetic effect,which is worth promoting.
作者
范登信
梁朝朝
潮敏
张殷
李道龙
蒋加斌
方向
张开平
Fan Dengxin;Liang Chaozliao;Chao Min(Dept of Urology;,Anhui Provincial Childrens Hospital, Hefei 230051;2Dept of Urolo;,The First Affiliated Hospital of Anhui Medical University, Hefei 23002)
出处
《安徽医科大学学报》
CAS
北大核心
2018年第4期635-638,共4页
Acta Universitatis Medicinalis Anhui
基金
国家临床重点专科建设资金项目(编号:2012-1785)
关键词
常规器械
自制手套port
单孔腹腔镜
肾盂成形术
conventional instruments
homemade gloves port
laparoendoscopic single-site
pyeloplasty
