Pediatric laparoscopic pyeloplasty: 4-year experience

Journal of Endourology
Po N LamBradley P Kropp

Abstract

Laparoscopic dismembered pyeloplasty for correction of ureteropelvic junction obstruction (UPJO) in the pediatric population is comparable to open dismembered pyeloplasty in success rates. Experience with this procedure however remains limited. We review our experience with this technique. The hospital records of consecutive patients undergoing surgery for UPJO between May 2001 and May 2005 were reviewed. Only those who underwent laparoscopic pyeloplasty for single system UPJO were included in the study. Indications for surgical correction were T(1/2) > or = 20 minutes by diethylene triamine pentaacetic acid Lasix renography or symptomatology with hydronephrosis seen on renal ultrasonography (US). Fifty-nine patients were identified, all of whom were treated surgically for salvageable UPJO. Four underwent percutaneous endopyelotomy for concomitant urolithiasis, 27 underwent open dismembered pyeloplasty (parent choice or under 18 months of age), and 28 underwent laparoscopic dismembered pyeloplasty. One patient had bilateral laparoscopic repairs at different times, resulting in 29 renal units that were reconstructed laparoscopically. Of these, 28 were completed. Eighteen procedures were performed on boys and 11 on girls. The mea...Continue Reading

References

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Citations

Mar 4, 2009·Pediatric Surgery International·Rajendra B NerliM K Ganesh
Jan 1, 2009·Current Urology Reports·Douglas E Sutherland, Thomas W Jarrett
Feb 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Danielle D SweeneySteven G Docimo
Jun 11, 2010·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Ruchir MaheshwariRakesh Kapoor
Jul 29, 2009·Journal of Pediatric Urology·Josef SedláčekJan Dvořáček
Jun 27, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Girolamo MattioliPiero Buffa
Nov 4, 2008·Journal of Pediatric Urology·M LopezF Varlet
Jan 25, 2017·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M Ben DhaouR Mhiri
Dec 30, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Francisco T DenesMiguel Srougi

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