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Laparoscopic heminephroureterectomy in pediatric patients
G Janetschek1, J Seibold, C Radmayr
1Department of Urology, University of Innsbruck, Austria.
The Journal of Urology
|October 23, 1997
Summary
Laparoscopic heminephroureterectomy is a feasible pediatric urology procedure with minimal complications. While effective, it requires specialized centers due to long operative times.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Laparoscopy
Background:
- Laparoscopic procedures are increasingly common in pediatric urology.
- Heminephroureterectomy is a typical operation for specific pediatric conditions.
Purpose of the Study:
- To report the experience with laparoscopic heminephroureterectomy in children.
- To evaluate the feasibility and outcomes of this minimally invasive approach.
Main Methods:
- 14 children underwent laparoscopic heminephroureterectomy.
- Procedures included removal of upper or lower renal poles for conditions like ectopic refluxing megaureter, obstructive ureterocele, and reflux nephropathy.
- Some cases involved combined procedures for ureteral reimplantation.
Main Results:
- All operations were completed successfully.
- Operative times ranged from 180 to 510 minutes.
- Minimal blood loss and no intraoperative or postoperative complications were observed.
- Mean postoperative hospital stay was 4.4 to 7.5 days.
Conclusions:
- Laparoscopic heminephroureterectomy in children is feasible.
- The procedure offers minimal blood loss, low morbidity, and a low complication rate.
- Long operative times are a disadvantage, necessitating performance at specialized centers.