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Kentaro Mizuno¹, Hidenori Nishio¹, Daisuke Matsumoto²

¹Department of Pediatric Urology Nagoya City University Graduate School of Medical Sciences Nagoya Japan.

|July 24, 2025

概括

在小儿患者中,用于原发性膀外流的腹腔镜和机器人手术显示出高的成功率. 术内尿管直径是成功手术结果的关键,无论机器人协助如何.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
儿科手术儿科手术

背景情况:

初级膀外流 (VUR) 是儿童常见的疾病,经常导致反复发作的尿路感染.
手术纠正的目的是防止脏痕和长期并发症.
腹腔镜和机器人辅助尿管再植入是VUR治疗的既定最少入侵技术.

研究的目的:

评估和比较腹腔镜与机器人辅助腹腔镜尿道再植入手术对初级VUR的外科结果.
为了确定影响VUR在微创手术后解决的因素.

主要方法:

对接受外腹腔镜或机器人辅助腹腔镜尿道再植入术的患者病历的回顾性审查 (2012年3月 - 2020年7月).
在儿科 (n=100) 和成人 (n=15) 队列中对手术结果的分析.
对儿科患者的手术进行比较,并调查成功因素.

主要成果:

总体成功率为儿科患者的89.1%,成人患者的70.0%.
儿科成功率与腹腔镜 (91.1%) 和机器人辅助 (85.5%) 尿管再植入相似.
术内尿路直径是VUR解析的显著预测因素 (p=0.046).

结论:

腹腔镜和机器人辅助腹腔镜尿管再植入都对儿科初级VUR安全有效.
确保足够的下道长度,以手术内尿路直径为指导,对于优化手术成功至关重要.

关键词:

一个奇特的外观.腹腔镜检查是指腹腔镜检查.机器人手术手术程序中的机器人手术程序保持尿液的方法是保持尿液.膀外侧反流是什么意思

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