Outcomes of single trocar retroperitoneoscopic assisted ipsilateral ureteroureterostomy for complete ureteral duplication
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Abstract
The objective of this study was to assess the safety and efficacy of a uretero-ureterostomy method using an assisted retroperitoneal endoscopy with one trocar for treatment of the complete ureteral duplication. From September 2016 to December 2018, 37 patients between the ages of 2.4 and 105.9 months had surgery at the National Hospital of Pediatrics. None of the patients had to switch to open surgery to find and exteriorize the ureters. There were no complications during surgery. The average operative time was 81.6 ± 11.7 minutes; the average postoperative stay was 5.1 ± 2.3 days. Postoperative complications occurred in 3 patients that the end of JJ catheter was slipped up to the ureter. A removal of slipped II catheters was performed by interventional radiology in 2 patients and by open operation in 1 patient. The median postoperative time for these 3 patients was 28.5 months and the follow-up results showed that all patients performed well. The decrease in renal pelvis and ureter size was statistically significant. All patients had better kidney function before surgery. The results of this study showed that the uretero - ureterostomy method using assisted retroperitoneal endoscopy with one trocar is a feasible, safe, and effective method to treat complete ureteral duplication in children.
Article Details
Keywords
Ureteral duplication, retroneoscopic, single troca, ureteroureterostomy
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