Surgery for Pediatric Ureteropelvic Junction Obstruction-Comparison of Outcomes in Relation to Surgical Technique and Operating Discipline in Germany.
作者： J.-H. Gosemann , M. Lacher , G. Goetz , M. Klora , J. Zeidler
关键词: Logistic regression 、 Ureteropelvic junction 、 Pediatric Surgeon 、 Medicine 、 Laparoscopic pyeloplasty 、 Surgery 、 Public health insurance 、 Specialty 、 Complication 、 Open pyeloplasty
摘要: Introduction Surgery for ureteropelvic junction obstruction (UPJO) is performed by both pediatric surgeons (PS) and urologists (URO). The aim of this study was to analyze treatment modalities UPJO results in relation the surgical technique operating discipline Germany. Materials Methods Data patients aged 0 18 years were extracted from a major public health insurance (covering ∼5.7 million clients) during 2009 2016 analyzed sociodemographic variables, technique, treating discipline. Logistic regression analysis risk complication within first postoperative year. Results A total 229 children (31.0% female) included. Laparoscopic pyeloplasty (LP) 58 (25.3%) (8.6 ± 6.4 years), open (OP) applied 171 (74.7%; 4.6 ± 5.9 years). LP dominant females (p Conclusion In Germany, treated 25.3% patients, which associated with shorter length stay, especially ≤ 2 years. Complication rates independent specialty technique. Therefore, should be further promoted small children.
thieme-connect.de参考文章(33)
Ryan W. Tubre, John M. Gatti, Surgical Approaches to Pediatric Ureteropelvic Junction Obstruction Current Urology Reports. ,vol. 16, pp. 72- 72 ,(2015) , 10.1007/S11934-015-0539-1
D.F.M. Thomas, M. Fraser, The role of the adult urologist in the care of children: findings of a UK survey BJU International. ,vol. 88, pp. 80- 83 ,(2001) , 10.1046/J.1464-410X.2001.02245.X
Ching-Chung Liang, Chi-Jen Lin, Por-Jen Cheng, Hsiao-Wen Chen, An-Shine Chao, Shuenn-Dhy Chang, Outcome of prenatally diagnosed fetal hydronephrosis. Journal of Reproductive Medicine. ,vol. 47, pp. 27- 32 ,(2002)
John Knoedler, Leona Han, Candace Granberg, Stephen Kramer, George Chow, Matthew Gettman, Brittany Kimball, James Moriarty, Simon Kim, Douglas Husmann, Population-based comparison of laparoscopic and open pyeloplasty in paediatric pelvi-ureretic junction obstruction BJU International. ,vol. 111, pp. 1141- 1147 ,(2013) , 10.1111/BJU.12039
Vijaya M. Vemulakonda, Duncan T. Wilcox, Timothy M. Crombleholme, Michael Bronsert, Allison Kempe, Factors associated with age at pyeloplasty in children with ureteropelvic junction obstruction Pediatric Surgery International. ,vol. 31, pp. 871- 877 ,(2015) , 10.1007/S00383-015-3748-2
Stacy T. Tanaka, John A. Grantham, John C. Thomas, Mark C. Adams, John W. Brock, John C. Pope, A Comparison of Open vs Laparoscopic Pediatric Pyeloplasty Using the Pediatric Health Information System Database—Do Benefits of Laparoscopic Approach Recede at Younger Ages? Journal of Urology. ,vol. 180, pp. 1479- 1485 ,(2008) , 10.1016/J.JURO.2008.06.044
J. C. Anderson, Wilfred Hynes, RETROCAVAL URETER:A Case diagnosed pre‐operatively and treated successfully by a Plastic Operation BJUI. ,vol. 21, pp. 209- 214 ,(1949) , 10.1111/J.1464-410X.1949.TB10773.X
Benno Ure, Jens Dingemann, Systematic review of level 1 evidence for laparoscopic pediatric surgery: do our procedures comply with the requirements of evidence-based medicine? European Journal of Pediatric Surgery. ,vol. 23, pp. 474- 479 ,(2013) , 10.1055/S-0033-1333639
Martin Lacher, Joachim F. Kuebler, Jens Dingemann, Benno M. Ure, Minimal invasive surgery in the newborn: Current status and evidence Seminars in Pediatric Surgery. ,vol. 23, pp. 249- 256 ,(2014) , 10.1053/J.SEMPEDSURG.2014.09.004
Jens Dingemann, Joachim F. Kuebler, Mathias Wolters, Mirja von Kampen, Wilhelm A. Osthaus, Benno M. Ure, Marc Reismann, Perioperative analgesia strategies in fast-track pediatric surgery of the kidney and renal pelvis: lessons learned. World Journal of Urology. ,vol. 28, pp. 215- 219 ,(2010) , 10.1007/S00345-009-0442-9