@article{10.11648/j.ijcu.20220602.13,
  author = {Sergio Landa Juarez and Iris Saldana Sanchez and Ileana Mendez Gamboa and Carlos Garcia Hernandez},
  title = {Feasibility of Laparoscopic Pyeloplasty in Children Since Infancy},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {2},
  pages = {76-83},
  doi = {10.11648/j.ijcu.20220602.13},
  url = {https://doi.org/10.11648/j.ijcu.20220602.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220602.13},
  abstract = {Background: For children with ureteropelvic junction obstruction, minimally invasive techniques offer better results for patients, but the traditional laparoscopic approach continues to be a surgical challenge, especially in infants, for which the benefit of this approach as a first-line choice is still being discussed. A retrospective analysis was performed on patients diagnosed with ureteropelvic junction obstruction (UPJO) treated by laparoscopic pyeloplasty (LP) from January 2014 to December 2019. The ages ranged from 3 months to 16 years; most patients had a primary obstruction, and only five had a previous pyeloplasty. Clinical success was defined as: the resolution of symptoms, diminished hydronephrosis on ultrasound, and improved excretion assessed through a nuclear renal scan. Throughout six years, 71 LPs were performed, of which only 57 met the inclusion criteria. The mean age was 3.5 years old. We divided the patients into two groups, group A for 1 year or less, and Group B for children 1 year and older. 16 children presented with hydronephrosis on the right kidney, and 41 on the left. 47 children presented with intrinsic obstruction, and 10 were extrinsic due to an aberrant polar artery. Prenatal hydronephrosis was detected in the majority of patients. The remaining cases presented predominantly with abdominal pain and urinary tract infection. The total mean operative time was 171 min for Group A, and 190 min for Group B. None of the children required conversion to open surgery. There was one major complication in our cohort. Our success rate of 93% was similar to that of the current literature. Our retrospective study reported shorter operative times and less complications through laparoscopic approach in infants. We attribute the shorter operative times to initiating laparoscopic intervention in young children after surpassing the initial learning curve. We recommend prospective studies in comparing both age groups in order to assert the feasibility of this procedure in all ages.},
 year = {2022}
}

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TY  - JOUR
T1  - Feasibility of Laparoscopic Pyeloplasty in Children Since Infancy
AU  - Sergio Landa Juarez
AU  - Iris Saldana Sanchez
AU  - Ileana Mendez Gamboa
AU  - Carlos Garcia Hernandez
Y1  - 2022/08/31
PY  - 2022
N1  - https://doi.org/10.11648/j.ijcu.20220602.13
DO  - 10.11648/j.ijcu.20220602.13
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 76
EP  - 83
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20220602.13
AB  - Background: For children with ureteropelvic junction obstruction, minimally invasive techniques offer better results for patients, but the traditional laparoscopic approach continues to be a surgical challenge, especially in infants, for which the benefit of this approach as a first-line choice is still being discussed. A retrospective analysis was performed on patients diagnosed with ureteropelvic junction obstruction (UPJO) treated by laparoscopic pyeloplasty (LP) from January 2014 to December 2019. The ages ranged from 3 months to 16 years; most patients had a primary obstruction, and only five had a previous pyeloplasty. Clinical success was defined as: the resolution of symptoms, diminished hydronephrosis on ultrasound, and improved excretion assessed through a nuclear renal scan. Throughout six years, 71 LPs were performed, of which only 57 met the inclusion criteria. The mean age was 3.5 years old. We divided the patients into two groups, group A for 1 year or less, and Group B for children 1 year and older. 16 children presented with hydronephrosis on the right kidney, and 41 on the left. 47 children presented with intrinsic obstruction, and 10 were extrinsic due to an aberrant polar artery. Prenatal hydronephrosis was detected in the majority of patients. The remaining cases presented predominantly with abdominal pain and urinary tract infection. The total mean operative time was 171 min for Group A, and 190 min for Group B. None of the children required conversion to open surgery. There was one major complication in our cohort. Our success rate of 93% was similar to that of the current literature. Our retrospective study reported shorter operative times and less complications through laparoscopic approach in infants. We attribute the shorter operative times to initiating laparoscopic intervention in young children after surpassing the initial learning curve. We recommend prospective studies in comparing both age groups in order to assert the feasibility of this procedure in all ages.
VL  - 6
IS  - 2
ER  - 

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