Abstract
ObjectiveTo investigate the feasibility and efficacy of carrying out pediatric laparoscopic partial cystectomies (LPC) when treating benign bladder tumors and urachal cysts.MethodsRetrospectivey analyzing 4 clinical cases involving children with bladder tumors, which were collected from October 2017 to December 2018. In these clinical cases, there were 3 male children and 1 female child, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. An intraperitoneal laparoscopic partial cystectomy was performed in the treatment of 3 of these patients with benign bladder tumors and in 1 patient with an urachal cyst. The surgical procedures included a partial cystectomy and a complete intracavitary bladder suture.ResultsAll 4 cases were successful and no operation was transferred to opensurgery. The operation time was 100–120 min, with an average time of 108 min. The intraoperative blood loss was 10–20 ml, with an average loss of 15 ml. 6 h after the operation, the patients still maintained a fluid diet and 1 case of hematuria had occurred, with the catheter removed 12 days after the operation. No postoperative urine leakage, intestinal adhesion or intestinal obstruction occurred, and the average postoperative hospitalization time was 14 days.ConclusionLaparoscopic partial cystectomy is a safe and feasible method to be used for the treatment of benign bladder tumors and urachal cysts. It presents the advantages of being minimally invasive, and having a quick recovery and short hospitalization time. It is an alternative surgical method for the treatment of pediatric benign bladder tumors.
Highlights
Pediatric bladder tumors are infrequent, with rhabdomyosarcoma (RMS) being the most common
The left lateral wall is markedly thickened, There is a 5.2 cm irregular lump on the top at top of the left lateral wall are rounded of posterior wall, the basilar part is broad, enhanced nodules from the ureterostoma 1–2 cm Micturition unwell 9 days
In this group, 1 cystoscope biopsy was consistent with the postoperative pathology report, and 2 were inconsistent
Summary
Retrospectivey analyzing 4 clinical cases involving children with bladder tumors, which were collected from October 2017 to December 2018. In these clinical cases, there were 3 male children and 1 female child, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. Clinical data There were 4 cases in this group, including 3 males and 1 female, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. In 2 cases, the left lateral wall had significantly thickened and there were rounded nodules on its top part. The left lateral wall is markedly thickened, There is a 5.2 cm irregular lump on the top at top of the left lateral wall are rounded of posterior wall, the basilar part is broad, enhanced nodules from the ureterostoma 1–2 cm Micturition unwell 9 days
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