Clinical experiences of laparoscopy for children with hydronephrosis caused by compression of accessory renal artery

doi:10.3877/cma.j.issn.1674-3253.2022.01.016

Abstract

Abstract:

Objective

To investigate the clinical characteristics of hydronephrosis caused by pediatric accessory renal artery compression and the safety and application value of laparoscopic surgery.

Methods

From January 2017 to December 2019, 13 cases of hydronephrosis caused by accessory renal artery compression were admitted to our hospital, including 9 males, 4 females, 11 on the left side and 2 on the right side. The clinical data were analyzed retrospectively.

Results

All the 13 cases in this group confirmed obstruction of ureteropelvic junction caused by compression of accessory renal artery, which originated from abdominal aorta in 11 cases and renal artery in 2 cases. All of them underwent detach pyeloplasty by laparoscopy. Double J tube was placed. Drainage tube was placed around anastomotic stoma, and removed 3-6 d after operation. The operation time was (120± 25) min. The blood loss was (6.0±2.5) ml. On the day of surgery, the patient was given a full-flow diet. One patient had urinary leakage on the second day after surgery, and was healed after treatment for 3 days. The patients were hospitalized for (8.5±0.5) days. After 3-15 months of follow-up, the renal function of 1 patient with renal atrophy continued to decline, presenting complete dysfunction, recurrent symptoms of fever, lumbago and other urinary tract infections, and nephrectomy was performed in the second stage, while the other of the children did not continue to decline in renal function.

Conclusion

Laparoscopy for hydronephrosis caused by pediatric accessory renal artery compression is safe, with small trauma, quick postoperative recovery and minimally invasion.

Key words: Accessory renal artery, Children, UPJO, Laparoscopy

Abudureyimu Abudusaimi·, Jun Wang, ShuangLi Qin, Akemu Yusufu·, Erfan Ye, Jun He, Kai Li, Dong Liu, Aziguli, Ling Zhou, Shuixue Li. Clinical experiences of laparoscopy for children with hydronephrosis caused by compression of accessory renal artery[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(01): 73-76.

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References 16

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