Retroperitoneoscopic dismembered pyeloplasty in children.
- Author:
Hong-qian GUO
1
;
Wei-dong GAN
;
Xiao-gong LI
;
Hui-bo LIAN
;
Ze-yu SUN
Author Information
- Publication Type:Journal Article
- MeSH: Child; Child, Preschool; Female; Follow-Up Studies; Humans; Kidney Pelvis; surgery; Laparoscopy; Male; Retroperitoneal Space; pathology; Treatment Outcome; Ureteral Obstruction; surgery; Urologic Surgical Procedures; methods
- From: Chinese Journal of Surgery 2006;44(14):960-962
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the technique and the clinical efficacy of Retroperitoneoscopic dismembered pyeloplasty in children.
METHODSRetroperitoneoscopic dismembered pyeloplasty was performed on 17 patients of pediatric ureteropelvic junction (UPJ) obstruction, age ranging from 3 - 10 years. All patients had radiographic evidence of obstruction with signs, symptoms or deterioration of renal function.
RESULTSAll of the 17 operations were performed successfully, and no serious complications occurred during and after the operations. Average operating time was 4.3 hours, which decreased with surgeon experience. Average blood loss was 38 ml, mean postoperative stay was 4.6 d. Only one case had postoperative urine leakage. With a mean follow-up of 14 months, all patients were free of obstruction on follow-up radiographic imaging.
CONCLUSIONSRetroperitoneoscopic dismembered pyeloplasty is a safe, effective and minimally invasive procedure for treatment of UPJ obstruction in children, and it can be used as an alternative to open surgery.
