Pediatric Laparoscopic and Robot-Assisted Laparoscopic Surgery: Technical Considerations

被引:33
作者
Tomaszewski, Jeffrey J. [1 ]
Casella, Daniel P. [1 ]
Turner, Robert M., II [1 ]
Casale, Pasquale [2 ]
Ost, Michael C. [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Childrens Hosp Pittsburgh, Dept Urol,Div Pediat Urol, Pittsburgh, PA 15213 USA
[2] Univ Penn, Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
关键词
SINGLE-SITE NEPHRECTOMY; DISMEMBERED PYELOPLASTY; MITROFANOFF APPENDICOVESICOSTOMY; CLINICAL-SERIES; TRANSPERITONEAL; EXPERIENCE; CHILDREN; COMPLICATIONS; MANAGEMENT; UROLOGY;
D O I
10.1089/end.2011.0252
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
Laparoscopy has become an effective modality for the treatment of many pediatric urologic conditions that need both extirpative and reconstructive techniques. Laparoscopic procedures for urologic diseases in children, such as pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation, have proven to be safe and effective with outcomes comparable to those of open techniques. Given the steep learning curve and technical difficulty of laparoscopic surgery, robot-assisted laparoscopic surgery (RAS) is increasingly being adopted in pediatric patients worldwide. Anything that can be performed laparoscopically in adults can be extended into pediatric practice with minor technical refinements. We review the role of laparoscopic and RAS in pediatric urology and provide technical considerations necessary to perform minimally invasive surgery successfully.
引用
收藏
页码:602 / 613
页数:12
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