当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > Comparison of transumbilical multiport and standard laparoscopic pyeloplasty in children: Mid-term results at a single center.

Comparison of transumbilical multiport and standard laparoscopic pyeloplasty in children: Mid-term results at a single center.

Abstract：

OBJECTIVE:To compare the efficacy of transumbilical multiport (TMLP) and standard laparoscopic pyeloplasty (SLP) for the treatment of congenital ureteropelvic junction obstruction in children. METHODS:Forty-eight patients were included in this matched-pair study. The TMLP applied three transumbilical incisions for one 5-mm and two 3-mm ports, whereas SLP was undertaken with traditional three-port technique. The demographic, perioperative, and follow-up data were retrospectively compared between TMLP (n=24) and SLP (n=24) groups. RESULTS:Two groups were matched according to patient's age, gender, laterality, weight, and surgical indication. TMLP and SLP were successfully performed in all patients, without conversion to open procedure. There was no significant difference between both groups in intraoperative blood loss, time to oral feeding, time to normal activities, pain scores, or complication rates. Longer mean operative time (125.4±21.6 vs. 112.2±25.2 min; P=0.012) and better patient satisfaction (30.4±4.5 vs. 24.6±3.4; P=0.026) were noted in TMLP group than those in SLP group. Mid-term follow-up indicated no significant difference in postoperative alleviation of hydronephrosis or improvement of renal function. CONCLUSION:TMLP is a feasible and efficient procedure for the management of congenital ureteropelvic junction obstruction in children, with comparative outcome and better cosmetic results than SLP.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Mei H,Zhao X,Li D,Fang E,Wang X,Song H,Pu J,Zheng L,Tong Q

doi

10.1016/j.jpedsurg.2016.08.013

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

473-477

issue

3

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(16)30289-5

journal_volume

52

pub_type

杂志文章

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