Transumbilical single-incision hybrid pyeloplasty for infant ureteropelvic junction obstruction

Ying Hua Xu; Fu Ran Wang

doi:10.1016/j.jpurol.2024.03.021

Transumbilical single-incision hybrid pyeloplasty for infant ureteropelvic junction obstruction

J Pediatr Urol. 2024 Mar 22:S1477-5131(24)00173-6. doi: 10.1016/j.jpurol.2024.03.021. Online ahead of print.

Authors

Ying Hua Xu¹, Fu Ran Wang²

Affiliations

¹ Department of Gynaecology and Obstetrics, Women and Children's Hospital of Ningbo University (South Section), Ningbo, 315012, China.
² Department of Pediatric Urology, Women and Children's Hospital of Ningbo University (North Section), Ningbo, 315031, China. Electronic address: franwang@163.com.

PMID: 38565485
DOI: 10.1016/j.jpurol.2024.03.021

Abstract

Ureteropelvic junction obstruction (UPJO) can be treated by various pyeloplasty techniques. We present a hybrid technique incorporating elements of laparoendoscopic single-site surgery and open pyeloplasty through a single umbilical incision. As a result, seven infants with UPJO underwent the hybrid pyeloplasty smoothly. The mean operative time was 131.9 min. At a follow-up of 11.8-50.0 months, all infants showed significant improvement and no symptoms except for one febrile urinary tract infection. The cosmetic results were very satisfactory without obvious visible scars. Therefore, the hybrid pyeloplasty appears to be a simple and effective minimally invasive surgery for treating infant UPJO.

Keywords: Hybrid pyeloplasty; Infant; Laparoscopic surgery; Ureteropelvic junction obstruction.