Current indications for laparoscopy and retroperitoneoscopy in pediatric urology

Abstract

Laparoscopy has raised great interest in the past few years in the field of pediatric urology. It has evolved from a simple diagnostic maneuver to complex operative procedures. The aim of this study was to review urologic laparoscopy literature and provide a critical review of this field to establish current indications for videosurgery in pediatric urology. In general, from an anatomic point of view, retroperitoneoscopy seems to be more suitable than the transperitoneal laparoscopic approach for reaching the upper urinary tract. It also is less invasive and complies with the criteria for open renal surgery. With respect to current indications for videosurgery in pediatric urology, the authors have identified several well-established clinical procedures, although no large series have been published for any of the procedures, except for the treatment of varicocele, nonpalpable testis, and nephrectomy. In conclusion, the data reviewed suggest that videosurgery is a safe and feasible technique in pediatric urology if performed by expert surgeons, and that it certainly will develop further in the next few years.

Sclerotherapy of the Pampiniform Plexus with Modified Marmar Technique in Children and Adolescents

“…Various laparoscopic methods are furthermore described in young patients, always with the purpose of reproducing the same procedure that is carried out in open surgery using a mini-invasive technique [18,19] .…”

Outcome of laparoscopic upper pole heminephroureterectomy in children: A two-centre experience

“…During the last decade the indications for laparoscopy in paediatric urology have been expanding [1]. Reported advantages of the laparoscopic approach compared with an open procedure include lower analgesic requirements, improved cosmesis, and reduced hospital stay [5], [6], [7].…”

“…However, laparoscopy in the paediatric age group is still less common with slower acquisition than that in adults. Growing evidence suggests that laparoscopic urological surgery can be safely performed in the paediatric population [1].…”

Laparoscopic nephrectomy and heminephrectomy

“…İdrar yolları duplikasyon anomalilerinde, fonksiyon kaybı olan sistemde heminefrektomi gerekebilir ve üreteri ile beraber çıkarılır. Heminefrektomi sırasında karşı tarafa ya da üreter alt uca da girişim gerekebilir (3,5,6,(8)(9)(10)(11)(12) .…”

“…Renal transplantasyon öncesi hazırlık döneminde, enfeksiyon ile seyreden kronik renal parankimal enfeksiyon, ürolitiyazis, polikistik böbrek hastalığı, edinsel böbrek kist gelişimi, ağır proteinüriye neden olan hastalıklar; konjenital nefrotik sendrom, fokal glomerulosklerozda da nefrektomi gerekebilir (1,11) .…”