PHẪU THUẬT NỘI SOI TẠO HÌNH KHÚC NỐI BỂ THẬN NIỆU QUẢN THEO NGUYÊN TẮC FINNEY

Abstract

Introduction:  In this report, we described a new technique of laparoscopic pyeloplasty by Finney’s principle. Methods: a case report and review of the literature. Results: A four-year-old boy was indicated for surgical repair for left pyelo-ureteral junction (PUJ) obstruction. Laparoscopic surgery was performed and intraoperatively we found a high left ureteral insertion to the middle of the pyelon, causing kinking and obstruction of the PUJ. A incision was made on the pyelon, started below the PUJ and continued on the lower wall of the PUJ to the adjancent ureteral wall. A pyeloplasty by Finney’s principle was performed as the opened wall of the pyelon was sutured to the adjacent opened wall of the ureter. A percutatneous pyelo-ureteral drain was placed. The operative duration was 50 minutes. There was no intraoperative complication. The patient recovered uneventfully, the drain was taken out on 6^th day and he was discharged on 7^th day after the operation. At the follow up of 8 months, the patient was asymptomatic, ultrasound showed normal pyelon. Conclusions: Laparosopic pyeloplasty by Finney’s principle is safe, simple with short operative time and can be a good choice in surgical repair for PUJ obstruction with high ureteral insertion.