Influencing factors of laparoscopic pelvic urethroplasty in the treatment of children with hydronephrosis

Eur Rev Med Pharmacol Sci 2023; 27 (10): 4421-4427

DOI: 10.26355/eurrev_202305_32447

C. Yang, Y.-S. Cao, B. Peng, H. Chu, Z.-Q. Zhang

Department of Urology Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China. nizhanghe063773@163.com

OBJECTIVE: The purpose of this study was to evaluate the clinical efficacy of laparoscopic pyeloureteroplasty in the treatment of children suffering from hydronephrosis.

PATIENTS AND METHODS: Our pediatric department received 160 children with hydronephrosis from January 2019 through December 2021. These children were randomly assigned to either the control group or the study group with 80 cases in each group. The control group underwent traditional open pyeloureteroplasty, while the study group underwent laparoscopic pyeloureteroplasty. After assessing the results of both groups, the clinical outcomes were compared.

RESULTS: The study group had a significantly shorter operating time, lower intraoperative bleeding rate, and shorter hospital stay than the control group. On the first day after the operation, there was no significant difference between the control and study groups, and on the seventh day after the operation, the study group’s OPS was significantly lower than that of the control group. A significant difference was observed after treatment between the study group and the control group in terms of the anteroposterior diameter of the renal pelvis. Both groups’ GFR increased significantly with time, and the GFR of the study group was significantly greater than that of the control group at 3 months after the operation, but there was no significant difference at 6 months after the operation. Postoperative adverse effects did not differ significantly between the two groups.

CONCLUSIONS: Pediatric laparoscopic pyeloureteroplasty can reduce intraoperative bleeding, shorten operation time and hospital stay, alleviate postoperative pain, and promote the recovery of postoperative renal morphology and function in children with hydronephrosis, which merits further discussion.

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C. Yang, Y.-S. Cao, B. Peng, H. Chu, Z.-Q. Zhang
Influencing factors of laparoscopic pelvic urethroplasty in the treatment of children with hydronephrosis

Eur Rev Med Pharmacol Sci
Year: 2023
Vol. 27 - N. 10
Pages: 4421-4427
DOI: 10.26355/eurrev_202305_32447

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