Laparoscopy in paediatric urology: present status

Abstract

The spectrum of laparoscopic surgery in children has developed dramatically; what was initially used as a diagnostic method to identify an impalpable testis is now commonly used for complex reconstructive procedures such as pyeloplasty. Laparoscopic orchidopexy and nephrectomy are well established and are used at many centres. Laparoscopic partial nephrectomy, adrenalectomy and dismembered pyeloplasty series have reported shorter hospital stays and operative times that are comparable with that of open techniques, and/or decreasing with experience. The initial experiences with laparoscopic ureteric re‐implantation and laparoscopically assisted bladder reconstructive surgery are reported, with encouraging results for feasibility, hospital stay, and cosmetic outcome.

Laparoscopic-Assisted Management of Impalpable Testis in Patients Older than 10 Years

“…Since then after the success of laparoscopy in many other fields and improvements in video technology, laparoscopic orchiopexy and orchiectomy have gained considerable support and are used frequently. 13–17 …”

One-Trocar–Assisted Pyeloplasty

“…The efficacy of the treatment is tested at the follow-up, when all the patients are asymptomatic and show a notable reduction of the pelvic dilatation at US control. 10,11 It is important to say that this technique needs further evaluation, because the case reports are limited; thus, a long training is needed to obtain more knowledge about the technique and the necessary ability to carry it out.…”

Two decades of minimally invasive pediatric surgery—taking stock

“…The era after 1990 saw the rapid integration of MIS to all fields of pediatric surgery, so much so that today, it is an integral part of pediatric surgical practice. A few attempts have however been made both previously and in the recent past, to delineate the status of MIS in general surgery and pediatric urology [18][19][20][21][22][23][24]. However, a consolidated opinion about the current status of minimally invasive surgery from a wide group of current pediatric surgeons is absent in literature.…”