Pediatric Laparoscopic Pyeloplasty: 4-Year Experience

Lam, Po N.; Wong, Carson; Mulholland, Timothy L.; Campbell, Jeffery B.; Kropp, Bradley P.

doi:10.1089/end.2007.9876

Cited by 33 publications

(11 citation statements)

References 18 publications

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“…Postoperatively, one child had a urinary tract infection that necessitated hospital admission and administration of intravenous antibiotics. Similarly, Lam et al [14] reported on 28 children who underwent laparoscopic dismembered pyeloplasty. One child required hospitalization longer than 23 h because of postoperative ileus.…”

Section: Discussionmentioning

confidence: 95%

Complications of laparoscopic pyeloplasty in children

et al. 2009

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Section: Discussionmentioning

confidence: 95%

Complications of laparoscopic pyeloplasty in children

et al. 2009

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“…[19–23] In a recently published study of transperitoeal LP in children, 28 out of 29 were completed successfully and mean operative time was 255 min (range 157-396), mean estimated blood loss 10 ml in all. [21] Similarly, in other studies of transperitoneal LP in children, 16 out of 16 were completed successfully and mean operative time was 160 min (range 90-270), mean estimated blood loss was 60 ml (range not given) and mean hospital stay was not reported,[19] mean operating time was 219 min (range 140-310) with a mean hospital stay of 2.4 days (range 1-5) and 2/22 (9%) required conversion to open surgery. [23] Majority of the cases with higher blood loss were during the initial part of the series (learning curve effect).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic pyeloplasty in pediatric patients: The SGPGI experience

Maheshwari¹,

Ansari²,

Mandhani³

et al. 2010

Indian J Urol

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Objectives:To determine the safety, efficacy and long-term outcome of laparoscopic pyeloplasty in pediatric patients.Materials and Methods:A prospective analysis of data of pediatric patients under the age of 15 years, who had undergone laparoscopic pyeloplasty from January 2000 to June 2008 was done. The various parameters analyzed were; operative time, blood loss, need for analgesics, intra/postoperative complications, hospital stay and postoperative outcome. Success was defined on the basis of either improvement in the symptoms/or better drainage on postoperative isotope renography.Results:A total of 82 patients with a mean age of 7.12 years (four months to 15 years) and male to female ratio of 4.3:1 were included in the study. Dismembered pyeloplasty was done in 70 patients and Foley Y-V plasty in 12 patients via transperitoneal approach using three ports in 79 or four ports in three children. Mean operative time was 151 minutes (78-369); mean blood loss was 88.01 ml (50-250) with a mean hospital stay of 5.05 days (2-11). Conversion to open surgery was required in four (4.87%) patients. Follow-up renograms were available in 74 patients who showed improvement in drainage in 69 patients and obstructed pattern in five; of these two patients had significant deterioration in split function. Two patients among the obstructed group underwent redo pyeloplasty by open technique while the rest three elected for conservative approach. At a mean follow-up of 41.58 months (8-75) the overall success rate was 91.89%.Conclusion:Laparoscopic pyeloplasty is effective and safe in children with minimal morbidity and gives excellent long-term results.

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“…Except for a longer operative time, the results have been comparable with those of open repair, even in infants [5,6,12,13]. Although considered technically demanding, the retroperitoneal approach has been preferred by some surgeons because of better tolerance of potential urinary leakage into the retroperitoneal space and a lower risk of injury to intraperitoneal organs [9,10,11].…”

Section: Introductionmentioning

confidence: 88%