Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent

Singh, Amit; Bajpai, Minu; Jana, Manisha

doi:10.4103/0189-6725.129205

Cited by 5 publications

(2 citation statements)

References 18 publications

(22 reference statements)

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“…Although reported success of LP in children parallels or exceeds that of open surgery ( 9 ) the main advantage of MLP in infants is cosmetic since the 3-mm ports leave barely visible scars ( 10 ). Those who argue that in infants an open pyeloplasty can be done through a very small incision making MLP unnecessary ( 2 , 3 ) seem to ignore the fact that scars grow with the body.…”

Section: Discussionmentioning

confidence: 99%

“…In some institutions, including ours, MLP is applied to children of all ages ( 1 ). Nevertheless, open surgery continues to be preferred for younger children in some centers ( 2 , 3 ). In a recent survey, including children operated in the USA between 2004 and 2008, only 3.6% of children with UPJO were treated laparoscopically, underlining the technical difficulties of LP except in the hands of a few.…”

Section: Introductionmentioning

confidence: 99%

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The BULT Method for Pediatric Minilaparoscopic Pyeloplasty in Infants: Technique and Results

2016

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We reviewed retrospectively the results of transperitoneal minilaparoscopic pyeloplasty in children younger than 2 years. The surgical technique utilized as well as the retrograde placement of the stent is described in detail. Twenty-four consecutive children with a mean age of 7.9 months (range 1-23), a mean weight of 7.4 kg (range 4-12), and a mean follow-up of 18 months (range 3-59) are included. Preoperative grade of dilatation was 3.8 (SFU scale) and postoperatively improved to 1.5. The AP diameter of the pelvis decreased from a mean of 28-9 mm. In 83% of cases, there was complete resolution of hydronephrosis (grades 0-2) and the rest showed improvement. There was one conversion to open surgery in a child with a horseshoe kidney. There was one omental prolapse though a port site in a child in whom an inappropriate drain was used. There were no stent-related complications and no reinterventions for persistent or recurrent obstruction. Given these outcomes, low complication rate and excellent cosmetic results, we recommend transperitoneal minilaparoscopy with a double J stent and a perirenal drain for infants requiring pyeloplasty.

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