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Laparoscopic ureteroureterostomy in children with a duplex collecting system plus obstructed ureteral ectopia
Mustafa Olguner1, Feza M Akgür, Mehmet Atilla Türkmen
1Department of Pediatric Surgery, Dokuz Eylül University Faculty of Medicine, Balcova, 35340 İzmir, Turkey. mustafa.olguner@deu.edu.tr
Insights
Laparoscopic ureteroureterostomy (UU) offers a minimally invasive option for treating duplicated collecting systems in children. This approach successfully redirected urine in two pediatric patients, showing promise for future applications.
Area of Science:
- Pediatric urology
- Minimally invasive surgery
- Congenital anomalies
Background:
- Duplicated collecting systems are complex upper urinary tract anomalies.
- Ureteroureterostomy (UU) is the standard surgical procedure for functioning upper moieties.
- Open UU is well-established, but laparoscopic experience in pediatric patients is limited.
Observation:
- The study reports the successful application of laparoscopic UU in two pediatric patients.
- This minimally invasive technique was used to correct a duplicated collecting system.
Findings:
- Laparoscopic UU was successfully performed in pediatric patients with duplicated collecting systems.
- The procedure effectively redirected urine flow to the normal collecting system.
Implications:
- Laparoscopic UU is a promising minimally invasive alternative to open surgery for pediatric duplicated collecting systems.
- This technique may reduce patient morbidity and improve recovery times.
- Further research is warranted to establish long-term outcomes and broader applicability.
Abstract:
One of the complex upper urinary tract anomalies is a duplicated collecting system. In cases with a functioning upper moiety, ureteroureterostomy (UU) is the preferred operation to redirect the urine to the normal collecting system. Although open UU is a well-described operation, experience with laparoscopic repair pediatric patients is scarce. We describe the successful application of laparoscopic UU in 2 children and suggest that laparoscopic UU for the duplicated collecting system is a promising minimally invasive procedure.
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