Comparison of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction / 中华泌尿外科杂志

ABSTRACT

Objective Comparison of the efficacy of mini flank incision and laparoscopy in the treatment of infants with ureteropelvic junction obstruction.Methods We retrospectively analyzed 85 cases of infants with ureteropelvic junction obstruction in our hospital from Jan.2016 to Jan.2018,all the patients underwent dismembered pyeloplasty.According to the surgical approach,they were divided into two groupsThere were 45 cases in the mini flank incision group,including 39 males and 6 females,aged from 1 month to 3 years,with a median age of 4 months,and 40 patients in the laparoscopy group,including 33 males and 7 females,aged from 2 months to 3 years,with a median age of 9 months.The clinical effects of the two groups were compared.Results The patients were followed up for 12-24 months.The operation time[(68.0 ± 15.3) min vs.(79.6 ± 18.8) min],fasting time [(5 ± 1) h vs.(14 ± 8) h] and indwelling time of peri-renal drainage tube [(3.1 ± 1.4) d vs.(4.3 ± 2.2) d] in the mini flank incision group were shorter than those in the laparoscopy group (P ＜ 0.01),but there was no significant difference in the amount of blood loss[(2.1 ± 0.9) ml vs.(2.2 ± 0.6) ml] during the operation (P ＞ 0.05).The recurrence rate [0 vs.5 ％ (2/40)]and the incidence of complications[11.1％ (5/45) vs.17.5％ (7/40)] in the mini flank incision group were lower than those in the laparoscopy group,but there was no statistical difference (P ＞ 0.05).Conclusions Pyeloplasty via mini flank incision or laparoscopy are both safe,effective and cosmetic.Mini flank incision surgery has the advantage of short operation time,easy to master and less disturbance of physiological function.Pyeloplasty via mini flank incision it is one of the reasonable options for the treatment of infants with ureteropelvic junction obstruction.