Laparoscopic pyeloplasty in pediatric patients. Our initial cases and lessons learned

被引:2
作者
Garcia-Aparicio, L. [1 ]
Tarrado, X. [1 ]
Rodo, J. [1 ]
Krauel, L. [1 ]
Olivares, M. [1 ]
Rovira, J. [1 ]
Ribo, J. M. [1 ]
机构
[1] Univ Barcelona, Hosp Sant Joan de Deu, Serv Cirugia Pediat, Unidad Urol Pediat, Barcelona, Spain
来源
ACTAS UROLOGICAS ESPANOLAS | 2010年 / 34卷 / 05期
关键词
Hydronephrosis; Pyeloplasty; Laparoscopy; URETEROPELVIC JUNCTION OBSTRUCTION; DISMEMBERED PYELOPLASTY; CHILDREN; YOUNGER; REPAIR;
D O I
10.1016/S2173-5786(10)70105-0
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: To analyze the initial experience in our first patients with ureteropelvic junction obstruction (UPJO) treated by laparoscopic surgery. Patients and methods: All laparoscopic Anderson-Hynes pyeloplasties performed from July 2007 to April 2009 were analyzed. Before surgery, patients underwent a renal ultrasound and isotope renogram. A double J catheter was left in place and subsequently removed. Patients were followed up by ultrasound and renography. Results: Fourteen patients with a median age of 8.6 years were analyzed. Preoperative ultrasound showed a median renal pelvis diameter of 34.5 mm. Median operating time was 235 min, and median hospital stay 5.5 days. Median renal pelvis diameter decreased in all patients (13.5 mm). Conclusions: Laparoscopy is an effective procedure for UPJO correction in children, although operating times are still long. (C) 2009 AEU. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:473 / 476
页数:4
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