Objective:To assess the feasibility of tubeless laparoscopic dissecting pyeloureteroplasty as a treatment modality for pediatric patients with ureteropelvic junction obstruction(UPJO).Methods:Retrospective analysis was conducted on clinical data of eighty children with UPJO who underwent surgery from Jan.2019 to Jun.2022.The patients were divided into two groups:the tubeless group(38 cases)and the double J tube group(42 cases),based on whether double J tubes were placed intraoperatively.Various parameters were compared,including operation time,hospitalization time,catheter retention time,the incidence of postoperative compli-cations(infection,urine leakage,lumbago,hematuria,calculi,and ureteral stenosis),changes of anteroposterior renal pelvic diameters and renal cortical thickness.Results:The tubeless group showed significantly shorter operation time,hospitalization time,and catheter retention time compared with the double J tube group(P<0.05).The incidence of postoperative infection and calculi in the tubeless group was lower(P<0.05).However,there were no statistically significant differences in the incidence of osphyalgia,hematuria,urinary leakage,and anastomotic stenosis between the two groups.The anteroposterior diameters of renal pelvis and the renal cortical thickness in both groups improved at twelve months after surgery(P<0.05),there was no statistically significant difference between the two groups.Conclusions:Compared with the placement of double J tubes,tubeless laparoscopic dissociative pyeloureteroplasty is a compara-ble treatment option for children with UPJO.It offers advantages such as shorter hospitalization time,faster postoperative recovery,avoid-ance of re-hospitalization for extubation,and effectively reduces the incidence of stent syndrome,which is worthy of popularization and application.
万方数据
维普
