PDF(Pubmed)
Abstract：
Purpose: To investigate the use of ureteroscope-assisted laparoscopic surgery (UALS) in treating symptomatic prostatic utricle (PU) in children. Materials and Methods: Data on surgically treated cases of PU at the Department of Urology in Hunan Children\'s Hospital between September 2014 and September 2022 were retrospectively collected and analyzed. The diagnosis was confirmed by cystourethroscopy followed by ureteroscopy, and PU was excised by ureteroscope-assisted laparoscopy. Results: A total of 21 patients with PU were enrolled in this study. The median age of the patients at surgery was 8.1 (4.6-11.5) years. Karyotyping was available for 15 children: 13 (86.7%) were 46XY, 1 (6.7%) was 45X/46XY, and 1 (6.7%) was 45X/46XY/47XYY. The median length of the PU was 5.0 (4.1-7.1) cm. Nineteen patients underwent only ureteroscope-assisted laparoscopic excision, whereas 2 also had a perineal incision. All excisions were successfully performed. The median intraoperative blood loss was 25.0 (20.0-37.5) mL. The median hospital stay and follow-up durations were 18.0 (14.5-25.0) days and 24.0 (13.5-49.0) months, respectively. The patients reported no postoperative clinical symptoms. Conclusion: UALS allows for accurate patient positioning and thorough exposure of the anatomical structures, and it is a safe, effective, and minimally invasive treatment for PU in children.
摘要：
目的：探讨输尿管镜辅助腹腔镜手术（UALS）治疗儿童症状性前列腺囊（PU）的应用。材料与方法:回顾性分析湖南省儿童医院泌尿外科2014年9月至2022年9月收治的PU手术病例资料。诊断通过膀胱尿道镜检查，然后进行输尿管镜检查，输尿管镜辅助腹腔镜切除PU。结果：本研究共纳入21例PU患者。手术患者的中位年龄为8.1（4.6-11.5）岁。15名儿童可进行核型分析：13名（86.7％）为46XY，1（6.7%）为45X/46XY，1（6.7%）为45X/46XY/47XYY。PU的中值长度为5.0(4.1-7.1)cm。19例患者仅接受输尿管镜辅助腹腔镜切除术，而2例也有会阴切口。所有切除均成功进行。术中出血量中位数为25.0（20.0-37.5）mL。中位住院时间和随访时间分别为18.0（14.5-25.0）天和24.0（13.5-49.0）个月，分别。患者报告无术后临床症状。结论：UALS允许准确的患者定位和解剖结构的彻底暴露，这是一个保险箱，有效,儿童PU的微创治疗。
