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

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Asian Journal of Urology 2019年第3期6卷 290-293页

作者： Farzaneh Sharifiaghdas Mahboubeh Mirzaei Azar Daneshpajooh Shahin Abbaszadeh Urology-Nephrology Research Center Labbafinejad HospitalShahid Beheshti University of Medical SciencesTehranIran Department of Urology Shahid Bahonar HospitalKerman University of Medical SciencesKermanIran Urology-Nephrology Research Center Baqiyatallah University of Medical SciencesTehranIran

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 functionpyeloplasty 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.

关键词： Ureteropelvic junction obstruction open dismembered pyeloplasty Miniature incision Children

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