Laparoscopic pyeloplasty in the infant younger than 6 months--is it technically possible?

The Journal of Urology
Alexander KutikovPasquale Casale

Abstract

Laparoscopic dismembered pyeloplasty is an acceptable option for UPJ obstruction in the pediatric population. We report our initial experience with this approach in infants. Eight infants 3 to 5 months old (mean 4.5) underwent transperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction. All patients underwent dismembered pyeloplasty with renal pelvis tapering. Two patients underwent concomitant pyelolithotomy and 1 underwent contralateral nephrectomy. Outcome measures included operative time, length of hospital stay, and resolution of obstruction by ultrasonography and DRI. Mean operative time was 1.8 hours for the pyeloplasty portion. Mean hospital stay was 1.2 days. The stent was removed 6 weeks postoperatively in all patients except 1. This patient, 1 of the 2 patients who underwent concomitant pyelolithotomy, had development of a new stone while the stent was still indwelling. Laparoscopic pyeloplasty resulted in 100% resolution of UPJ obstruction in this series. We believe that laparoscopic dismembered pyeloplasty is technically possible in infants younger than 6 months.

References

Jul 1, 1977·The Journal of Urology·L PerskyR L Boltuch
Oct 1, 1973·British Journal of Urology·R G Notley, J M Beaugie
Dec 1, 1993·The Journal of Urology·L R Kavoussi, C A Peters
Jan 1, 1993·European Urology·H L TanD R Webb
Mar 1, 1993·The Journal of Urology·J A MotolaA D Smith
Mar 1, 1996·British Journal of Urology·H H Woo, R H Farnsworth
Jan 1, 1997·British Journal of Urology·W T Ng
Aug 26, 1998·Pediatric Surgery International·F Schier
Sep 16, 1998·The Australian and New Zealand Journal of Surgery·S AhmedV Sripathi
Dec 18, 2001·The Journal of Urology·Jihad H KaoukInderbir S Gill
Jun 26, 2003·BJU International·A El-GhoneimiA Khoury
Jul 13, 2004·The Journal of Urology·Pasquale CasaleMichael E Mitchell
Dec 18, 2004·World Journal of Urology·Alaa El-Ghoneimi
Jan 22, 2005·Journal of Endourology·Pasquale CasaleMichael E Mitchell

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Citations

Aug 11, 2006·Der Urologe. Ausg. A·D TeberJ Rassweiler
Feb 17, 2007·Current Urology Reports·Brent WilliamsMartin I Resnick
Jul 17, 2012·Journal of Pediatric Urology·C D Anthony HerndonCoby Smith
Jan 11, 2007·Nature Clinical Practice. Urology·Danielle D SweeneySteven G Docimo
Jul 20, 2007·Journal of Endourology·Alexander KutikovPasquale Casale
Aug 21, 2007·Journal of Endourology·Luis H BragaWalid A Farhat
Dec 3, 2014·The Urologic Clinics of North America·Gregory E Tasian, Pasquale Casale
Dec 3, 2014·The Urologic Clinics of North America·Andrew J CohenMohan S Gundeti
Mar 26, 2014·Journal of Pediatric Urology·Danesh BansalPaul H Noh
Feb 14, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Manuel LopezFrancois Varlet
Jan 1, 2010·Journal of Robotic Surgery·Pasquale Casale, Sarah Lambert
Jun 26, 2015·Journal of Pediatric Urology·V V S Chandrasekharam
Nov 6, 2012·The Journal of Urology·Robert M TurnerMichael C Ost
May 15, 2012·Urology·Paul H Noh, Goutham Vemana
May 18, 2010·Actas urologicas españolas·L García-AparicioJ M Ribó
Dec 7, 2010·Journal of Pediatric Urology·Volkan TugcuAli Ihsan Tasci
Nov 21, 2009·Journal of Pediatric Urology·Philipp O SzavayJoerg Fuchs
Nov 4, 2008·Journal of Pediatric Urology·M LopezF Varlet
Dec 13, 2006·The Journal of Urology·S CascioH L Tan
Apr 23, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshiyuki KojimaKenjiro Kohri
Sep 18, 2007·BJU International·Gregory J LoweVenkata R Jayanthi
Oct 31, 2006·The Journal of Urology·Alexander KutikovPasquale Casale
Apr 11, 2007·BJU International·Marc C SmaldoneSteven G Docimo
Aug 6, 2013·The Journal of Urology·Pankaj P DangleMohan S Gundeti
Jun 2, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Noor N JunejoHamdan Alhazmi
Aug 21, 2007·The Journal of Urology·Stephen J CanonGregory J Lowe
Aug 21, 2007·The Journal of Urology·Job K ChackoPeter D Furness

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