Clinical Comparative Study Of Retroperitoneal Laparoscopic And Open Surgery Pyeloplasty For Ureteropelvie Junction Obstruction

Objective: Compared to Retroperitoneal Laparoscopic and openPyeloplasty in the treatment of ureteropelvic junction obstruction UPJOoperation time, blood loss， the time of recovery of bowel function,postoperative hospitalization time and total cost of hospitalization,summarized in retroperitoneal laparoscopy for the treatment of ureteropelvicjunction obstruction UPJO advantages and disadvantages, the efficacy andfeasibility of stenosis, clinical comparative study related data and the sameperiod, open pyeloplasty surgery.Methods: A retrospective analysis of adult ureteropelvic junctionobstruction (UPJO) of the period from January2011to June2012in ourhospital,53patients were divided into two groups (the select age between18and35years old). Using laparoscopic pyeloplasty after treatment ofureteropelvic junction obstruction (UPJO)17patients,12males and5females,age20-35years, average（25.59±3.34）years old.14cases, the left and rightside in three cases. Mild in5cases,11cases of moderate to severehydronephrosis. Open pyeloplasty to treat ureteropelvic junction obstruction(UPJO) in36patients,26males and10females, age18-33years, average（25.37±4.06）years old.25cases, the left and right side in11cases. Mild in11cases,23cases of moderate to severe hydronephrosis two cases. The thegroups operative time, blood loss, postoperative gastrointestinal functionrecovery time, postoperative hospital stay, and total hospital costs werecompared.Result: Retroperitoneal laparoscopic and open pyeloplasty compared in operation，postoperative hospitalization time was (14.12±1.32) d and (14.14±1.42) d (P>0.05) was not statistically significant, operation time,intraoperative bleeding volume, postoperative gastrointestinal functionrecovery time and total cost of hospitalization, respectively (107.81±16.24)min and (67.92±12.78) min,(35.94±11.58) ml and (91.94±15.04) ml,(27.76±3.13) h and (35.97±4.92) h,(23776.47±1013.52)元and(17255.56±905.36)元(P <0.05) had statistical significance。Postoperative6months follow-up there was no leak, restenosis, fever and othercomplications. As can be seen from the above data using laparoscopicpyeloplasty blood loss, postoperative discharge time are better than opensurgery, laparoscopic pyeloplasty operation time and total cost ofhospitalization were more than open surgery, retroperitoneal mirrorpyeloplasty postoperative hospitalization time and open surgery was nosignificant difference.Conclusion:1、After laparoscopic surgery compared with open surgery is a safe,effective and feasible way of operation, with less bleeding, small trauma, quickrecovery, etc.2、After laparoscopic surgery compared with open surgery also have longoperation time and patients cost higher shortcomings.3、As in UPJO after laparoscopic surgery technology is widely used in theoperation, clinical doctor operation technology constantly improve, andcontinuously improve surgery consumables, can completely replace opensurgery in the near future.