Laparoscopic dismembered pyeloplasty in children

Preliminary results

H. L. Tan, J. P. Roberts

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Objectives: To investigate the technique of laparoscopic pyeloplasty in children with pelvi-ureteric junction (PUJ) obstruction. Patients and methods: Six children, aged between 2.5 and 15 years, were treated by laparoscopic pyeloplasty in a prospective study. The outcome was assessed by post-operative isotopic renography. Four of the children underwent a Y/V plasty of the PUJ structure and one a Hynes-Anderson dismembered pyeloplasty. Results: One case (the first in this series) was converted to open pyeloplasty due to adhesions around the PUJ from previous surgery. One patient developed an abdominal haematoma at the trocar site, which resolved without treatment. All anastomoses were completed without complication. Five of the children had normal or significantly improved drainage times on post- operative renography. In one patient, the drainage time deteriorated post- operatively, although differential function of the operated kidney improved. Conclusions: These early results suggest that laparoscopic pyeloplasty in children is feasible, safe and effective; a longer term follow-up is awaited.

Original languageEnglish
Pages (from-to)909-913
Number of pages5
JournalBritish Journal of Urology
Volume77
Issue number6
Publication statusPublished - 1996
Externally publishedYes

Fingerprint

Radioisotope Renography
Drainage
Surgical Instruments
Hematoma
Prospective Studies
Kidney
Therapeutics
Bilateral Multicystic renal dysplasia

Keywords

  • Laparoscopic pyeloplasty
  • Pelvi-ureteric junction obstruction

ASJC Scopus subject areas

  • Urology

Cite this

Laparoscopic dismembered pyeloplasty in children : Preliminary results. / Tan, H. L.; Roberts, J. P.

In: British Journal of Urology, Vol. 77, No. 6, 1996, p. 909-913.

Research output: Contribution to journalArticle

Tan, H. L. ; Roberts, J. P. / Laparoscopic dismembered pyeloplasty in children : Preliminary results. In: British Journal of Urology. 1996 ; Vol. 77, No. 6. pp. 909-913.
@article{676a0989a0314b56a7d6103e19922a93,
title = "Laparoscopic dismembered pyeloplasty in children: Preliminary results",
abstract = "Objectives: To investigate the technique of laparoscopic pyeloplasty in children with pelvi-ureteric junction (PUJ) obstruction. Patients and methods: Six children, aged between 2.5 and 15 years, were treated by laparoscopic pyeloplasty in a prospective study. The outcome was assessed by post-operative isotopic renography. Four of the children underwent a Y/V plasty of the PUJ structure and one a Hynes-Anderson dismembered pyeloplasty. Results: One case (the first in this series) was converted to open pyeloplasty due to adhesions around the PUJ from previous surgery. One patient developed an abdominal haematoma at the trocar site, which resolved without treatment. All anastomoses were completed without complication. Five of the children had normal or significantly improved drainage times on post- operative renography. In one patient, the drainage time deteriorated post- operatively, although differential function of the operated kidney improved. Conclusions: These early results suggest that laparoscopic pyeloplasty in children is feasible, safe and effective; a longer term follow-up is awaited.",
keywords = "Laparoscopic pyeloplasty, Pelvi-ureteric junction obstruction",
author = "Tan, {H. L.} and Roberts, {J. P.}",
year = "1996",
language = "English",
volume = "77",
pages = "909--913",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Laparoscopic dismembered pyeloplasty in children

T2 - Preliminary results

AU - Tan, H. L.

AU - Roberts, J. P.

PY - 1996

Y1 - 1996

N2 - Objectives: To investigate the technique of laparoscopic pyeloplasty in children with pelvi-ureteric junction (PUJ) obstruction. Patients and methods: Six children, aged between 2.5 and 15 years, were treated by laparoscopic pyeloplasty in a prospective study. The outcome was assessed by post-operative isotopic renography. Four of the children underwent a Y/V plasty of the PUJ structure and one a Hynes-Anderson dismembered pyeloplasty. Results: One case (the first in this series) was converted to open pyeloplasty due to adhesions around the PUJ from previous surgery. One patient developed an abdominal haematoma at the trocar site, which resolved without treatment. All anastomoses were completed without complication. Five of the children had normal or significantly improved drainage times on post- operative renography. In one patient, the drainage time deteriorated post- operatively, although differential function of the operated kidney improved. Conclusions: These early results suggest that laparoscopic pyeloplasty in children is feasible, safe and effective; a longer term follow-up is awaited.

AB - Objectives: To investigate the technique of laparoscopic pyeloplasty in children with pelvi-ureteric junction (PUJ) obstruction. Patients and methods: Six children, aged between 2.5 and 15 years, were treated by laparoscopic pyeloplasty in a prospective study. The outcome was assessed by post-operative isotopic renography. Four of the children underwent a Y/V plasty of the PUJ structure and one a Hynes-Anderson dismembered pyeloplasty. Results: One case (the first in this series) was converted to open pyeloplasty due to adhesions around the PUJ from previous surgery. One patient developed an abdominal haematoma at the trocar site, which resolved without treatment. All anastomoses were completed without complication. Five of the children had normal or significantly improved drainage times on post- operative renography. In one patient, the drainage time deteriorated post- operatively, although differential function of the operated kidney improved. Conclusions: These early results suggest that laparoscopic pyeloplasty in children is feasible, safe and effective; a longer term follow-up is awaited.

KW - Laparoscopic pyeloplasty

KW - Pelvi-ureteric junction obstruction

UR - http://www.scopus.com/inward/record.url?scp=0030435995&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030435995&partnerID=8YFLogxK

M3 - Article

VL - 77

SP - 909

EP - 913

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 6

ER -