Comparison of Laparoscopic-assisted Versus Open Dismembered Pyeloplasty for Ureteropelvic Junction Obstruction in Infants: Intermediate Results - 06/08/11
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Résumé |
Objectives |
To compare the results of laparoscopic-assisted dismembered pyeloplasty (LADP) with open dismembered pyeloplasty in infants. LADP is an innovative minimally invasive technique to mobilize and exteriorize the ureteropelvic junction for Anderson-Hynes dismembered pyeloplasty.
Methods |
A total of 23 infants (mean 7.3 months, range 2-11) underwent LADP via the retroperitoneal approach. An additional 21 children (mean 8.2 months, range 3-12) underwent similar procedures via open surgery. We retrospectively compared the operative time, hospital stay, postoperative complications, and follow-up.
Results |
Patient demographic data were similar between the 2 groups. Mean operative time was significantly shorter in the open surgery than the LADP group (95.4 vs 102.6 minutes, P <.05). The mean incision length (2 vs 5 cm), recovery of intestinal function (24.3 vs 48.2 hours), and postoperative hospital stay (2.5 vs 5 days) were better in the LADP group than in the open group (P <.01). No intraoperative complications occurred in either group. Mean follow-up was 19 (range 6-36) and 24 (range 12-48) months in the LADP and open surgery groups, respectively. The incidence of postoperative complications (3 of 23, 13.0% vs 3 of 21, 14.3%; P = .33) and success rates (22 of 23, 95.7% vs 20 of 21, 95.2%; P = .51) were equivalent in the 2 groups.
Conclusions |
Shorter hospital stay, early recovery, and better cosmetic results may be the advantages of LADP over open surgery in small infants, which should be confirmed by a prospective and randomized study.
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This study was supported by The National Natural Science Foundation of China (No. 30 200 284, No. 30 600 278, No. 30 772 359), Program for New Century Excellent Talents in University (NCET-06-0641), and Scientific Research Foundation for the Returned Overseas Chinese Scholars (2008-889). |
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Q. Tong and L. Zheng contributed equally to this work. |
Vol 74 - N° 4
P. 889-893 - octobre 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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