Urologia internationalis · 2018
Head-to-Head Comparison of Modified Laparoscopic Pyeloplasty and Robot-Assisted Pyeloplasty for Ureteropelvic Junction Obstruction in China.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hong Peng, Ding Guangpu, Zhu Dongdong, Yang Kunlin, Pan Jinhong, Li Xuesong, Chen Zhipeng, Zhang Lei, Tang Qi, Hao Han, Zhou Zhansong, Zhou Liqun
Аннотация
OBJECTIVE: To compare the outcomes of modified laparoscopic pyeloplasty (LP) and robot-assisted pyeloplasty (RLP) for ureteropelvic junction obstruction (UPJO) in China patients.
MATERIALS AND METHODS: We retrospectively reviewed the medical records of patients who underwent modified LP and RLP using a transperitoneal laparoscopic approach at 2 different medical institutions between October 2009 and November 2017.
RESULTS: Seventy-six patients underwent modified LP and 140 patients underwent RLP. No open conversion occurred. The mean operative time of RLP was shorter than that of modified LP (p = 0.042). For UPJO concomitant with renal calculi, there was no difference in operative time between 2 groups (p = 0.656). With RLP, the operative time for UPJO concomitant with horseshoe was shorter (p = 0.011). In terms of complication rate, there was no significant difference between 2 groups (p = 0.596). The postoperative hospital stay for modified LP was shorter than that for RLP (p < 0.05). The mean follow-up time for modified LP and RLP was 31.79 months and 10.85 months respectively (p < 0.05). The success rate was 96.05 and 97.86% for modified LP and RLP, respectively (p = 0.736).
CONCLUSIONS: Modified LP and RLP are safe and efficient treatment for UPJO with similar success rates.
MATERIALS AND METHODS: We retrospectively reviewed the medical records of patients who underwent modified LP and RLP using a transperitoneal laparoscopic approach at 2 different medical institutions between October 2009 and November 2017.
RESULTS: Seventy-six patients underwent modified LP and 140 patients underwent RLP. No open conversion occurred. The mean operative time of RLP was shorter than that of modified LP (p = 0.042). For UPJO concomitant with renal calculi, there was no difference in operative time between 2 groups (p = 0.656). With RLP, the operative time for UPJO concomitant with horseshoe was shorter (p = 0.011). In terms of complication rate, there was no significant difference between 2 groups (p = 0.596). The postoperative hospital stay for modified LP was shorter than that for RLP (p < 0.05). The mean follow-up time for modified LP and RLP was 31.79 months and 10.85 months respectively (p < 0.05). The success rate was 96.05 and 97.86% for modified LP and RLP, respectively (p = 0.736).
CONCLUSIONS: Modified LP and RLP are safe and efficient treatment for UPJO with similar success rates.
Предметные рубрики MeSH
AdolescentAdultAgedChildChild, PreschoolChinaFemaleFused KidneyHumansKidneyKidney PelvisLaparoscopyLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsProspective StudiesPlastic Surgery ProceduresRetrospective StudiesRobotic Surgical ProceduresUreterUreteral ObstructionUrologic Surgical ProceduresYoung Adult