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Abstract
Objectives: Recently, the treatment of ureteropelvic junction obstruction at Hue Central Hospital has made many advances such as there are many approaches for pyeloplastyin open surgery, totally laparoscopic surgery. Besides, there has not been a systematic prospective study evaluating the results of pyeloplastysurgery at Hue central hospital. Therefore, we performed this study to evaluate the surgical outcome of pyeloplasty surgery in children within the last three years.
Methods: We conducted a prospective descriptivestudythatincluded pediatric patients (≤16 years old) with ureteropelvic junction obstruction operated by the Anderson - Hynes open and transperitoneal laparoscopic pyeloplasty method from January 2020 to October 2022.
Results: We performed open and laparoscopic surgery for 34 pediatric patients, including 31 open and 3 transperitoneal laparoscopic surgery. There were 24 (70,6%) male and 10 (29,4%) female patients, mean age of50,53 ± 49,26 months, the youngest was 3 months, and the oldest was 182 months. Low back pain was the main reason for hospitalization (70,6%). Grade 3 hydronephrosis accounting for the highest percentage of Ultrasound (61,8%) and Uroscan (70,6%). The average time of open surgery was 81,45 ± 23,74 minutes, and laparoscopic surgery was 136,67 ± 15,27 minutes. The average postoperative hospital stay for open pyeloplasty was 5,20 ± 1,17 days, and for laparoscopic pyeloplasty was 4,15 ± 2,04 days. 33/34 patients were evaluated as having successful surgery, reaching the rate of 97.05%; 1/34 patients had restenosis, and had the second reconstructive surgery.
Conclusion: Pyeloplasty is a safe and effective treatment for ureteropelvic junction obstruction in children. The dorsallumbotomy transverse incision in children has many advantages and safety. Transperitoneal laparoscopic pyeloplasty in children is a safe method; however, it needs to be studied in a large number of patients for a more accurate assessment.
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| Published | 20-01-2023 | |
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| Issue | No. 84 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.84.9 | |
| Keywords | Phẫu thuật mở tạo hình khúc nối bể thận - niệu quản, phẫu thuật nội soi xuyên phúc mạc, bệnh lý khúc nối bể thận - niệu quản Open pyeloplasty, transperitoneal laparoscopic pyeloplasty, ureteropelvic junction obstruction |
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