Early Robotic-Assisted Laparoscopic Pyeloplasty for Infants Under 3 Months With Severe Ureteropelvic Junction Obstruction

Frontiers in Pediatrics

article

Pin Li¹  Yunjie Yang²  Zhichun Feng¹  Huixia Zhou¹  Hualin Cao¹  Tao Guo⁵  Weiwei Zhu⁵  Yang Zhao⁶  Tian Tao¹  Xiaoguang Zhou¹  Lifei Ma¹ 

[1] Department of Pediatric Urology, Bayi Children's Hospital, Affiliated of the Seventh Medical Center of People's Liberation Army General Hospital;The Second School of Clinical Medicine, Southern Medical University;Department of Urology, The Affiliated Nanhai Hospital of the Southern Medical University;Department of Urology, Nan Xi Shan Hospital of Guangxi Zhuang Autonomous Region;Medical School of Chinese People's Liberation Army;Department of Pediatrics, The Third Medical Center of People's Liberation Army General Hospital

关键词: robotic-assisted laparoscopic pyeloplasty;    infant;    hydronephrosis;    ureteropelvic junction obstruction;    RALP;   

DOI  :  10.3389/fped.2021.590865

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective: To present our primary experience of robotic-assisted laparoscopic pyeloplasty (RALP) for severe ureteropelvis junction obstruction (UPJO) infants under 3 months. Methods: We performed a retrospective study of 9 infants under 3 months who underwent RALP for severe UPJO between April 2017 and March 2019 in our center. The severe UPJO was defined as infants with severe hydronephrosis (Society of Fetal Urology grades III or IV, anteroposterior diameter >3 cm or split renal function 20 min) involving bilateral, solitary kidney, or contralateral renal hypoplasia UPJO at the same time. All clinical, perioperative, and postoperative information was collected. Results: There were four bilateral UPJO cases, two solitary kidney UPJO cases and three unilateral UPJO with contralateral renal hypoplasia cases included. One single surgeon performed RALP on all of the infants. The mean age of the infants was 1.62 ± 0.54 months. The mean operative time was 109.55 ± 10.47 min. The mean estimated blood loss was 19.29 ± 3.19 ml, and the mean length of hospital stay was 5.57 ± 0.73 days. According to the ultrasonography results, all patients had a significant recovery of renal function at 12 months after the operation. Conclusions: To maximize the protection of renal function, early RALP is a safe and feasible option for the treatment of severe UPJO in infants under 3 months.

【 授权许可】

CC BY