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Related Experiment Video

Updated: Jul 8, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Pediatric laparoscopic pyeloplasty: 4-year experience.

Po N Lam1, Carson Wong, Timothy L Mulholland

  • 1Department of Urology, The University of Oklahoma, Oklahoma City, Oklahoma 73104, USA.

Journal of Endourology
|January 12, 2008
PubMed
Summary

Laparoscopic pyeloplasty offers comparable success rates to open surgery for pediatric ureteropelvic junction obstruction (UPJO). This minimally invasive technique demonstrates excellent outcomes and low morbidity in young patients.

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Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Urologic Oncology

Background:

  • Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in children.
  • Open dismembered pyeloplasty is the traditional surgical approach.
  • Laparoscopic pyeloplasty is an emerging alternative with limited but growing experience.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic dismembered pyeloplasty for pediatric UPJO.
  • To compare the outcomes of laparoscopic pyeloplasty with open pyeloplasty.
  • To establish laparoscopic pyeloplasty as a primary surgical technique for UPJO in older children.

Main Methods:

  • Retrospective review of 59 pediatric patients with UPJO treated between 2001 and 2005.
  • Inclusion criteria: single system UPJO, confirmed by Lasix renography or ultrasonography.

Related Experiment Videos

Last Updated: Jul 8, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

  • Surgical procedures included open dismembered pyeloplasty (27) and laparoscopic dismembered pyeloplasty (28).
  • Main Results:

    • Twenty-nine renal units underwent laparoscopic pyeloplasty with a 96.5% success rate (28/29 completed).
    • Mean operative time was 255 minutes; estimated blood loss was minimal (<10 mL).
    • Low morbidity observed, with only one conversion to open surgery and minor complications like ileus and urinoma.

    Conclusions:

    • Laparoscopic pyeloplasty is a safe and effective treatment for pediatric UPJO.
    • The procedure yields excellent success rates and low morbidity, comparable to open surgery.
    • Laparoscopic pyeloplasty is recommended as the primary surgical approach for UPJO in patients over 18 months of age.