分层次多点悬吊技术在腹腔镜肾盂 成形术中的应用研究.

To explore the clinical value of hierarchical and multi-point suspension technique during laparoscopic pyeloplasty ( LP ) for children with congenital ureteropelvic junction obstruclion ( UPJO ) . Methods Taking 138 children with UPJO as the resrch object who received LP treatment in Qilu Hospital of Shandeng University from March 2017 to Decembe1· 2020. The hierarchical and multi-point suspension technique wa5 applied. There were 114 boys and 24 girls with an average age of 34. 8 ( 1 - 168 ) month. The lesion side was left ( n = 98) and right ( n = 40). Postoperative ultrasonic follow-ups were performed for outcome evaluations. Results All operations were successful. Average opera Live duration was ( 108. 5 ± 27. 7) min, intraoperative anastomotic time ( 40. 1 ± 6. 2 ) min, volume of blood loss ( 5 - 25) ml and average postoperative hospitalization stay 5. 9 days. Four cases of postoperative urinary infection improved after susceptible anti-inflammatory treatment based upon the results of urine culture. One child of lymphatic leakage improved after delayed removal of abdominal drainage tube and symplomatic supports. For two cases of hematuria,symptoms disappeared after removal of double J stent. During a follow-up period of 6 to 12 months, clinical symptoms disappeared and ultrasonic re-examination revealed that hydronephrosis disappeared or decreased, and renal cortex thickened to varying degrees. Conclusion During laparoscopic pyeloplasty, application of hierarchical and multi-point suspension technique offers a better operative field and a satisfactory outcome. IL can effectively lower the difficulty of suturing and significantly shorten operative duration. And beginners may master it quickly and easily. [ABSTRACT FROM AUTHOR]