[1]孙英豪王晓晖**张书峰王霖高建舒博深.3个月以下婴儿行机器人辅助腹腔镜肾盂成形术的可行性[J].中国微创外科杂志,2026,01(4):212-217.
　Sun Yinghao,Wang Xiaohui,Zhang Shufeng,et al.On Feasibility of Robotassisted Laparoscopic Pyeloplasty in Infants Less Than 3 Months Old[J].Chinese Journal of Minimally Invasive Surgery,2026,01(4):212-217.
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3个月以下婴儿行机器人辅助腹腔镜肾盂成形术的可行性()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2026年4期
页码:
212-217
栏目:
临床研究
出版日期:
2026-04-24

文章信息/Info

Title:
On Feasibility of Robotassisted Laparoscopic Pyeloplasty in Infants Less Than 3 Months Old
作者:
孙英豪王晓晖**张书峰王霖高建舒博深
(郑州大学人民医院河南省人民医院小儿外科，郑州450003)
Author(s):
Sun Yinghao;  Wang Xiaohui;  Zhang Shufeng;  et al.
Department of Pediatric Surgery, People’s Hospital of Zhengzhou University, Henan Provincial People’s Hospital, Zhengzhou 450003, China
关键词:
机器人辅助手术; 肾盂成形术; 肾盂输尿管连接部梗阻; 婴儿
Keywords:
Robotassisted surgery; Pyeloplasty; Ureteropelvic junction obstruction; Infant
文献标志码:
A
摘要:
目的探讨机器人辅助腹腔镜肾盂成形术(robotassisted laparoscopic pyeloplasty，RALP)治疗≤3月龄婴儿肾盂输尿管连接部梗阻(ureteropelvic junction obstruction，UPJO)的可行性。方法回顾性分析2021年1月~2025年2月RALP治疗41例≤3月龄婴儿UPJO的临床资料，男35例，女6例；年龄7~85 d，(38.9±22.2)d；体重3~7 kg，(4.7±1.1)kg；左侧28例，右侧13例。采用da Vinci Xi机器人操作系统，充分暴露下裁剪肾盂，重建肾盂输尿管连接部。记录手术时间、术中出血量、术后住院时间、术后并发症，比较术前、术后3个月、术后6个月泌尿系超声肾盂前后径(anteroposterior diameter，APD)、肾实质最薄处厚度。结果41例手术均顺利完成，无中转开放手术，无术中并发症，术后ClavienDindo Ⅰ~Ⅱ级并发症发生率17.1%(7例)，Ⅲ~Ⅳ级并发症发生率2.4%(1例)。手术时间125~285 min，(177.2±38.8)min；术中出血量2~10 ml；术后住院时间6~14 d，(8.4±1.7)d。术前、术后3个月、术后6个月APD分别为(29.5±10.7)mm、(11.8±7.0)mm、(9.7±5.7)mm，肾实质最薄处厚度分别为(2.3±0.8)mm、(3.5±1.0)mm、(4.1±1.0)mm，术后3、6个月均较术前明显改善(P<0001)。结论RALP治疗≤3月龄UPJO安全可行。
Abstract:
ObjectiveTo explore the feasibility of robotassisted laparoscopic pyeloplasty (RALP) in the treatment of ureteropelvic junction obstruction (UPJO) in infants less than 3 months old.MethodsA retrospective analysis was carried out on clinical data of 41 cases of UPJO in infants ≤ 3 months old treated with RALP from January 2021 to February 2025, including 35 boys and 6 girls. The age was 7-85 d ［mean, (38.9±22.2)d］, and the body weight was 3-7 kg ［mean, (4.7±1.1)kg］. There were 28 cases on the left side and 13 cases on the right side. The da Vinci Xi robot operating system was used to cut the renal pelvis with full exposure and reconstruct the ureteropelvic junction. The operation time, intraoperative blood loss, postoperative hospitalization time, and postoperative complications were recorded, and the anteroposterior diameter (APD) of the renal pelvis and the thickness of the thinnest part of the renal parenchyma were compared by urological ultrasound at before operation, 3 months after operation, and 6 months after operation.ResultsAll the 41 operations were successfully completed, with no conversion to open surgery and no intraoperative complications. The postoperative ClavienDindo grade Ⅰ-Ⅱ complication rate was 17.1% (7 cases), and the grade Ⅲ-Ⅳ complication rate was 2.4% (1 case). The operation time was 125-285 min ［mean, (177.2±38.8)min］, the intraoperative blood loss was 2-10 ml, and the postoperative hospitalization time was 6-14 d ［mean, (8.4±1.7)d］. The APD at before surgery, 3 months after surgery, and 6 months after surgery was (29.5±10.7) mm, (11.8±7.0) mm, and (9.7±5.7) mm, respectively. The thickness of the thinnest part of the renal parenchyma was (2.3±0.8) mm, (3.5±1.0) mm, and (4.1±10) mm, respectively. These measurements at 3 and 6 months after surgery were significantly improved compared with those before surgery (P<0.001).ConclusionRALP is safe and feasible to treat UPJO in infants aged ≤ 3 months old.

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备注/Memo

备注/Memo:
基金项目：2025年度河南省自然科学基金项目（252300421371）**通讯作者，Email：7655100@qq.com
更新日期/Last Update: 2026-04-24