JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (7): 95-99.doi: 10.6040/j.issn.1671-7554.0.2016.1706

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Comparision of the therapeutic effects of laparoscopic surgery and open surgery on primary bladder diverticula

XU Jialong, SUN Xiaogang, WANG Junfeng, LIU Qian, MA Nan, LI Dianguo, CHEN Weixiu, LI Jinliang, WANG Ruoyi   

  1. Department of Pediatric Surgery, Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2016-12-26 Online:2017-07-10 Published:2017-07-10

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Abstract: Objective To compare the therapeutic effects of laparoscopic surgery and open surgery on primary bladder diverticula. Methods The data of 22 patients with primary bladder diverticula enrolled from September 2009 to July 2016 were retrospectively reviewed. Twelve patients underwent open bladder diverticulectomy(open surgery group), ten patients underwent laparoscopic diverticulectomy(laparoscopy group). The operation time and operative hemorrhage of the two groups were compared with independent sample t test. The pre-operative and post-operative urodynamics were separately compared with paired-samples t test.The numerical variations of voiding detrusor pressure and maximum pressure flow in the two groups were compared with separate variance estimation t test. Results The operation time in laparoscopy group was longer than that in open surgery group(P<0.05). The operative hemorrhage in laparoscopy group was less than that in open surgery group(P<0.05). The follow-up time of open surgery group was(13.6±4.0)months. The follow-up time of laparoscopy group was(13.6±5.7)months. The post-operative voiding detrusor pressure was lower than that in pre-operation in both groups(P<0.05). The maximum pressure flow increased after the operation in both groups(P<0.05). Urine flow curve was improved after the operation. The numerical variations of voiding detrusor pressure and maximum pressure flow pre-operation and post-operation in both groups showed no statistical difference(P>0.05). Pre-operative ipsilateral vesicoureteric refluxes disappeared after the surgery. There were 山 东 大 学 学 报 (医 学 版)55卷7期 -徐加龙,等.经腹腔镜手术与开放手术治疗原发性膀胱憩室临床效果比较 \=-no recurrence of bladder diverticula. The patients were asymptomatic in the follow up. Conclusion There is no difference between the therapeutic effect of laparoscopic bladder diverticulectomy and open surgery.Laparoscopic bladder diverticulectomy is an ideal way of minimally invasive surgery, with small trauma and less bleeding.

Key words: Laparoscopy, Children, Primary, Bladder diverticula, Diverticulectomy

CLC Number: 

  • R726.9
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