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Laparoscopically assisted ureterocystoplasty
B G Cilento1, D A Diamond, C K Yeung
1Department of Urology, Children's Hospital, Harvard Medical School, Boston, MA, USA. Bartley.Cilento@tch.harvard.edu
Objective:
To assess the efficacy and safety of laparoscopically assisted ureterocystoplasty (LAU) in children.
Patients And Methods:
From 1999 to 2001, five patients (mean age 7 years, range 3.5-13) from four centres underwent LAU with laparoscopic mobilization of the small kidney and upper ureter combined with ureterocystoplasty, with exposure of the bladder through a Pfannenstiel incision. The details and outcomes are reviewed.
Results:
The LAU was successful in all five patients; there were no complications. A large midline incision was avoided and the LAU carried out through the better tolerated and less painful Pfannenstiel incision.
Conclusion:
LAU is an appealing technique that is safe with the added benefit of a reduced abdominal incision and acceptable operative duration. This represents the first published report of LAU.