Laparoscopic versus open pyeloplasty in children: preliminary report of a prospective randomized trial

The Journal of Urology
Heidi A PennJ Patrick Murphy

Abstract

Pyeloplasty for ureteropelvic junction obstruction in children has traditionally been performed using an open technique. Although laparoscopic pyeloplasty has been shown to be comparable and possibly superior to open pyeloplasty in adult studies, such results in the pediatric population are limited. We evaluated outcomes between transperitoneal laparoscopic and open pyeloplasty in children. All children 1 to 18 years old with ureteropelvic junction obstruction requiring operative repair were offered enrollment in the study. Patients were prospectively randomized to either transperitoneal laparoscopic or open pyeloplasty through a flank incision. We reviewed 20 patients (mean age 7.8 years) who underwent laparoscopy and 19 (7.2 years) who underwent open surgery (p = 0.48). Mean followup was similar between the groups (laparoscopic 8.1 months vs open 11.1 months, p = 0.38). Mean operative time was 151 minutes (range 94 to 213) for laparoscopy and 130 minutes (83 to 225) for open surgery (p = 0.09). Mean hospitalization was 29.3 hours (range 20.5 to 48) for laparoscopy and 36.2 hours (24 to 73) for open surgery (p = 0.06). Analgesic usage was similar between the groups. One failure in the open arm required a revision. Operative, h...Continue Reading

Associated Clinical Trials

May 13, 2021·Benjamin Whittam, Benjamin Whittam

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Citations

Jul 17, 2012·Journal of Pediatric Urology·C D Anthony HerndonCoby Smith
Mar 2, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nasser SimforooshMehdi Abedinzadeh
Dec 21, 2010·Journal of Indian Association of Pediatric Surgeons·V Raveenthiran
Dec 3, 2014·The Urologic Clinics of North America·Mallikarjun N Reddy, Rajendra B Nerli
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Jan 23, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ling LeungPaul Kwong Hang Tam
Jun 26, 2015·Journal of Pediatric Urology·V V S Chandrasekharam
Nov 6, 2012·The Journal of Urology·Robert M TurnerMichael C Ost
Jul 24, 2012·The Journal of Urology·Shyam SukumarQuoc-Dien Trinh
Feb 14, 2012·Journal of Pediatric Surgery·Yves HelouryMarc David Leclair
Apr 30, 2011·The Journal of Urology·Eduardo RuizFrancisco Ignacio de Badiola
Mar 29, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuyuki NaitohTsuneharu Miki
Aug 16, 2015·Current Urology Reports·Ryan W Tubre, John M Gatti
Nov 15, 2016·The Journal of Urology·Michael L Garcia-RoigAndrew J Kirsch
Oct 22, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christopher PowellJ Patrick Murphy
May 3, 2018·Annals of the Royal College of Surgeons of England·Luke A McGuinness, Bhavan Prasad Rai
Dec 6, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Amos NehemanPaul H Noh
Oct 6, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Philipp Szavay

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