Abstract

GARCIA-APARICIO, L. et al. Laparoscopìc pyeloplasty in pediatric patients: Our initial cases and lessons learned. Actas Urol Esp [online]. 2010, vol.34, n.5, pp.473-476. ISSN 0210-4806.

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 34.5mm. Median operating time was 235min, and median hospital stay 5.5 days. Median renal pelvis diameter decreased in all patients (13.5mm). Conclusions: Laparoscopy is an effective procedure for UPJO correction in children, although operating times are still long.

Keywords : Hydronephrosis; Pyeloplasty; Laparoscopy.

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