Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases
JS Valla, J Breaud, L Carfagna, S Tursini, H Steyaert - European urology, 2003 - Elsevier
JS Valla, J Breaud, L Carfagna, S Tursini, H Steyaert
European urology, 2003•ElsevierObjective: The objective of this study is to present the results of a preliminary series of 24
upper pole nephrectomies performed by retroperitoneoscopy in children between 1995 and
2000. Material and Methods: The patient was placed in the lateral supine position and 3–4
trocars were inserted. Parenchymal section was performed by ultrasound or unipolar
scalpel. This series of 24 children consisted of 15 girls and 9 boys with a mean age of 22
months. Result: Three cases (12.5%) required open conversion. Nine intraoperative …
upper pole nephrectomies performed by retroperitoneoscopy in children between 1995 and
2000. Material and Methods: The patient was placed in the lateral supine position and 3–4
trocars were inserted. Parenchymal section was performed by ultrasound or unipolar
scalpel. This series of 24 children consisted of 15 girls and 9 boys with a mean age of 22
months. Result: Three cases (12.5%) required open conversion. Nine intraoperative …
Objective
The objective of this study is to present the results of a preliminary series of 24 upper pole nephrectomies performed by retroperitoneoscopy in children between 1995 and 2000.
Material and Methods
The patient was placed in the lateral supine position and 3–4 trocars were inserted. Parenchymal section was performed by ultrasound or unipolar scalpel. This series of 24 children consisted of 15 girls and 9 boys with a mean age of 22 months.
Result
Three cases (12.5%) required open conversion. Nine intraoperative complications (37%) were observed and repaired intraoperatively. Five postoperative complications (20%) consisted of residual perirenal collections, requiring drainage under anaesthesia in only one case. The mean operating time was 2 hours 40 minutes. The mean hospital stay was 3.4 days. The mean follow-up was 32 months. No cases of secondary atrophy of the lower pole were observed.
Conclusion
Overall, these preliminary results are comparable to those of conventional open surgery. The advantage of this method is a reduction of skin and musculo-aponeurotic scars.
Elsevier
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