医学
肾盂成形术
腹腔镜检查
失血
外科
回顾性队列研究
普通外科
肾积水
泌尿系统
内科学
作者
Ashay Patel,Mark W Pickhardt,Nathan Littlejohn,Ismael Zamilpa,Mallikarjuna Rettiganti,Chunqiao Luo,Stephen Canon
出处
期刊:PubMed
日期:2016-06-01
卷期号:23 (3): 8308-11
被引量:6
摘要
Robotic-assisted laparoscopic pyeloplasty (RALP) is increasingly becoming the standard procedure for management of ureteropelvic junction obstruction (UPJO) in the pediatric population, but few studies have shown a clear advantage over the more technically demanding laparoscopic pyeloplasty (LP) in children. The objective was to study the patients treated with RALP or LP at our institution and the associated outcomes for each minimally invasive approach for the correction of UPJO.Our laparoscopic and robotic database was queried to identify all patients with a history of primary robotic-assisted or laparoscopic dismembered pyeloplasty for the correction of UPJO performed at our institution from January 2010 through November 2013 and were retrospectively reviewed. We analyzed age, surgical time, blood loss, hospital stay length, postoperative complications, and success rate.Seventy-three total patients were identified as having RALP or LP during this time period with five patients excluded from the analysis. We identified 55 patients with RALP and 13 patients with LP. No differences in success rate or postoperative complications were found for the two cohorts. The length of procedure was significantly shorter for the RALP group compared to the LP group.
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