Laparoscopic Surgery on Upper Urinary Tract in Children Younger Than 1 Year: Technical Aspects and Functional Outcome

Abstract

Minimally invasive procedures on the upper urinary tract in children younger than 1 year are technically challenging, and require expertise of the surgeon and the entire team. Given these assumptions, such procedures can be safely performed with excellent functional outcomes.

Differences between intrinsic and extrinsic ureteropelvic junction obstruction related to crossing vessels: histology and functional analyses

“…Indications for surgery were: significant impairment of differential renal function (DRF, below 40 %); more than 10 % loss of DRF in follow-up DRS; signs of obstruction in DRS with less than 50 % tracer clearance 20 min after furosemide application (TC20 min%); and half-time tracer clearance (½TC) over 20 min after furosemide application. LDMP was performed as previously described [16], Postoperative follow-up included clinical evaluation once a year as well as DRS and colour Doppler ultrasound (US) after 3 months. Cases with IUPJO and UPJO-CV were compared regarding age, gender, pre-and postoperative courses, pre-and postoperative DRFs, TC20 min%, and reoperations.…”

Minimally invasive nephrectomy for Wilms tumors in children – data from SIOP 2001

“…Minimally invasive surgical (MIS) procedures are regularly used in pediatric surgery for standard as well as complex operations [5,6]. This approach is especially relevant in pediatric urologic operations of the upper urinary tract [7,8]. MIS also plays a certain role in pediatric surgical oncology although the exact relevance in most entities has not yet been determined [9][10][11].…”

Magnetic resonance nephrography for planning of laparoscopic partial nephrectomy in a pediatric case of ureteral triplication

“…According to these pathologies, simultaneous surgical treatment of the upper and lower urinary tract might become necessary to prevent loss of renal function. In our patient, the laparoscopic technique was comparably well applicable as in renal duplex systems [12]. Because of the vesicoureteral reflux in the lower and middle pole, we performed a ureteral reimplantation.…”