Minimally invasive open dismembered pyeloplasty technique: Miniature incision, muscle-splitting dissection, and nopelvis reduction in children

作     者：Farzaneh Sharifiaghdas Mahboubeh Mirzaei Azar Daneshpajooh Shahin Abbaszadeh 

作者机构：Urology-Nephrology Research CenterLabbafinejad HospitalShahid Beheshti University of Medical SciencesTehranIran Department of UrologyShahid Bahonar HospitalKerman University of Medical SciencesKermanIran Urology-Nephrology Research CenterBaqiyatallah University of Medical SciencesTehranIran 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2019年第6卷第3期

页      面：290-293页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Ureteropelvic junction obstruction Open dismembered pyeloplasty Miniature incision Children 

摘      要：Objective:To report the outcomes and complications of open dismembered Anderson-Hynes pyeloplasty with miniature incision in treating children’s ureteropelvic junction ***:Between March 2007 and April 2011,109 children with a mean age of 2 years and 8 months old with ureteropelvic junction obstruction underwent open dismembered *** manifestations,radiographic assessments,incision size,surgery time,hospital stay,and complication rate were *** patients had a documented ureteropelvic junction obstruction(having T1/2 more than 20 min in diethylenetriaminepentaacetic acid[DTPA]scan)with symptomatic stenosis or decreased kidney function(differential function40%).Pyeloplasty was done by a retroperitoneal flank approach with miniature incision without pelvis *** surgeon did all the *** rate and complications were assessed in a 3-year ***:Mean surgery time was 52 min(47e60 min).Incision size was 18e28 *** hospital stay was 3 days(2e8 days).The surgery was successful in 98.2%of patients with a mean follow-up time of 36 months(success was defined as disappearance of symptoms,if present,with improved ultrasound imaging results or Reno graphic parameters).The complication rate was 7.33%,including urinary leakage,double-J urethral stent dislocation and ***:Open dismembered pyeloplasty is a safe,technically feasible and effective therapy in treatment of children’s ureteropelvic junction *** takes a short time to do,requires a small incision and has few complications and a short recovery period.