To explore the efficacy and safety of adjustable suspension in laparoscopic pyeloplasty (ASLP) versus single-line pelvis suspension in laparoscopic pyeloplasty (SLPSLP) for isolated ureteropelvic junction obstruction (UPJO) in children, focusing on primary outcomes such as operation duration and complication rates.
Key Findings:
No significant differences in age, sex, body weight, history of UTI or pain, follow-up time, or side of UPJO between ASLP and SLPSLP groups.
ASLP group had shorter operation duration, less blood loss, and shorter hospital stay compared to SLPSLP group (P < 0.05).
Anastomotic leakage occurred in 0 patients in ASLP and 6 patients in SLPSLP (P = 0.030).
Anastomotic stenosis occurred in 1 patient in ASLP and 4 patients in SLPSLP, with no significant difference (P = 0.372).
Significant differences in APD and PT before surgery compared to 6 and 12 months after surgery in both groups (P < 0.05).
Interpretation:
ASLP is a safer and more effective technique for laparoscopic pyeloplasty in children with isolated UPJO, offering advantages in operation time and reduced complications compared to SLPSLP, which may influence surgical practice.
Limitations:
Retrospective design may introduce selection bias, affecting the reliability of the findings.
Single-center study limits generalizability of findings to broader populations.
Conclusion:
Adjustable suspension in laparoscopic pyeloplasty is a minimally invasive and effective approach for treating pediatric isolated UPJO, demonstrating significant clinical benefits over traditional techniques, which may change the standard of care.
