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Ureterocalicostomy: an alternative to nephrectomy.

N J Hawthorne, H Zincke, P P Kelalis

The Journal of Urology

|May 1, 1976

Summary

Ureterocalicostomy is a valuable surgical option for complex pediatric ureteropelvic junction obstruction when standard methods fail. This procedure preserves maximal renal function in challenging cases.

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Area of Science:

Pediatric Urology
Surgical Innovation
Renal Function Preservation

Background:

Ureterocalicostomy offers a solution for ureteropelvic junction obstruction when conventional techniques are not feasible.
Indications are limited but crucial for specific patient populations requiring unobstructed ureteropelvic drainage.

Observation:

Three pediatric cases successfully underwent ureterocalicostomy.
The primary indication observed was obstructed and scarred intrarenal pelvis, precluding standard ureteropyelostomy.

Findings:

Successful ureterocalicostomy was achieved in all three pediatric cases.
Key technical aspect involves adequate amputation of lower pole renal cortex for optimal anastomosis.

Implications:

Ureterocalicostomy is vital for managing complex pediatric renal anomalies.
The procedure effectively preserves maximal renal function in challenging surgical scenarios.

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