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| Effect com parison of retroperitoneal laparoscopic surgery and open operation in the treatmem t of ureteropelvic junction obstruction |
| YAN Bing1 SUN Yi-hai2 HUANG Heng-qian3 DENG Hong-hui3 XIE Guang-yu3 FU Jie-xin3 |
1.Department of Urology,the Third Hospital of Nanning City,Guangxi Zhuang Autonomous Region,Nanning 530003,China;
2.Department of Urology,the Third Affiliated Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region,Nanning 530031,China;
3.Department of Urology,the First Hospital of Nanning City,Guangxi Zhuang Autonomous Region,Nanning 530022,China |
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Abstract Objective To compare the efficacies of retroperitoneal laparoscopic surgery and open operation in the treatment of ureteropelvic junction obstruction (UPJO),and to discuss the problems that should be paid attention to in retroperitoneal laparoscopic surgery.Methods A total of 106patients with unilateral UPJO from January 2014to June 2019 were selected as the study object,they were divided into the observation group (53cases)and the control group(53cases)according to the method of random drawing.The observation group underwent retroperitoneal laparoscopic pyeloplasty,the control group underwent open pyeloplasty.Incision length,operation time,intraoperative bleeding volume,conversion to the open surgery intraoperatively,postoperative recovery time of bowel function,time of postoperative ground activity,length of postoperative hospitalization,postoperative complications,postoperative efficacy were compared between the two groups.Results The incision length in the observation group was shorter than that in the control group,the intraoperative bleeding volume in the observation group was less than that in the control group,the postoperative recovery of bowel function,time of postoperative ground activity and length of postoperative hospital stay of the observation group were shorter than those of the control group,there were significant difference (P＜0.01).The differences of operation time,conversion to the open surgery intraoperatively,postoperative complications and postoperative efficacy between two groups were not statistically significant (P＞0.05).Conclusion Compared with the open surgery,retroperitoneal laparoscopic pyeloplasty for UPJO has the advantages ofminimally invasive,less bleeding and quick postoperative recovery,it isworthy of clinical promotion and application.
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