Journal article
Laparoscopic ipsilateral ureteroureterostomy in the management of ureteral ectopia in infants and children
Journal of pediatric urology, Vol.7(5), pp.529-533
2011
DOI: 10.1016/j.jpurol.2010.08.004
PMID: 20869918
Abstract
We report our initial experience, and describe our technique, in performing laparoscopic ipsilateral ureteroureterostomy (IUU) in the pediatric population.
An IRB-approved, retrospective review of all patients undergoing laparoscopic IUU at our institution between 2006 and 2009 was performed. Demographic data, mode of presentation, underlying diagnosis, operative parameters, complications and follow-up data were analyzed. Cystoscopy, retrograde pyelograms and ureteral stent placement into the lower pole ureter were performed at the beginning of all cases. All were performed via a transperitoneal approach. An end-to-side ureteral anastamosis was carried out along the proximal lower pole ureter. No drains were left in place. Urethral catheters were left for 48 h.
There were seven patients in the series. All were female with a mean age of 84 months (11舐190). Diagnosis was an ectopic ureter in six patients and a ureterocele in one patient. No patient required conversion to an open approach. Mean total operative time was 187 min (140舐252). Mean hospital stay was 2 days (1舐4) with a mean follow up of 8 months (1舐15). No complications occurred postoperatively. Follow-up studies demonstrate decreased or resolved hydronephrosis in all cases.
In our initial experience, laparoscopic IUU can be accomplished in a safe and effective manner with minimal complication.
Details
- Title: Subtitle
- Laparoscopic ipsilateral ureteroureterostomy in the management of ureteral ectopia in infants and children
- Creators
- Douglas W Storm - Naval Medical Center San Diego, Department of Urology, 34800 Bob Wilson Drive, San Diego, CA 92104, USAchal Modi - The Ohio State University Medical Center Department of Urology, Cramblett Medical Center, 456 West 10th Avenue, Columbus, OH 43210, USVenkata R Jayanthi - Nationwide Children’s Hospital Division of Urology, Timken Hall, G280, 700 Children’s Drive, Columbus, OH 43205, US
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric urology, Vol.7(5), pp.529-533
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.jpurol.2010.08.004
- PMID
- 20869918
- ISSN
- 1477-5131
- eISSN
- 1873-4898
- Language
- English
- Date published
- 2011
- Academic Unit
- Stead Family Department of Pediatrics; Urology
- Record Identifier
- 9984051760802771
Metrics
13 Record Views