KẾT QUẢ PHẪU THUẬT NỘI SOI SAU PHÚC MẠC HỖ TRỢ TẠO HÌNH KHÚC NỐI BỂ THẬN NIỆU QUẢN Ở TRẺ DƯỚI 2 TUỔI

Abstract

Objective: The aim of this study was to evaluate the result of retroperitoneal laparoscopic – assisted pyeloplasty in children younger than 2 years. Patients and method: retrospective study 31 patients with uretero-pelvic junction obstruction (UPJO) younger than 2 years, who underwent retroperitoneal laparoscopic – assisted pyeloplasty in Pediatric and Neonatal surgery department, Viet Duc University Hospital from 01/01/2020 to 30/06/2023. Result: The mean age at surgery was 7.1 ± 3.8 months. There were 26 patients (83,9%) having prenatal diagnosis. All patients underwent retroperitoneal laparoscopic with 3 trocars to dissect and pull out the uretero-pelvic junction and Anderson-Hynes pyeloplasty. Average operative time was 74,8 ± 35.4 minutes, the average length of incision was 2,1 ± 0,2 cm. No intraoperative complications were reported. 3 patients had urine leak and 1 patient had infective incision post operation but all were treated successful with medical treatment. 3-6 months follow-up shown that improvement in uteropelvic dilation and renal parenchyma in ultrasound was statistical significance (p<0.05). 80.6 % patient had good result and the recurrent rate was 6.5%. Conclusion: Retroperitoneal laparoscopic – assisted pyeloplasty in children younger than 2 years is safe and effective.