Short communication, Note
https://doi.org/10.26800/LV-145-supl1-23
Inicijalni rezultati laparoskopske pijeloplastike u djece
Miram Pasini
orcid.org/0000-0003-0256-1330
; Klinika za kirurgiju Medicinskog fakulteta Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb
Ivana Sabolić
Dino Papeš
Stanko Ćavar
Anko Antabak
orcid.org/0000-0002-6139-7799
Tomislav Luetić
orcid.org/0000-0002-8076-7070
Abstract
Objectives: To present our initial experience with laparoscopic pyeloplasty in children, to evaluate the safety and short-term outcome. Materials and methods: A retrospective analysis of medical records of all children undergoing a dismembered pyeloplasty for uteropelvic junction obstruction at the University Hospital Center Zagreb in a three-year period from 2019 to 2022. Results: A total of 10 children, aged 10 months to 17 years (median 4.3 years) underwent laparoscopic pyeloplasty. Four girls and 6 boys. In 8 patients affected was the left kidney, and in two right kidney. The average diameter of the pyelon was 35mm and the average separate function of the affected kidney was 40%. Intrinsic stenosis as a cause of obstruction was found in eight children, and in two there were aberrant blood vessels for the lower pole of the kidneys. The average duration of surgery was 190 minutes (range 120–240 min.) while the average hospitalization time was 3.2 days (range 2–6 days). In two children, an abdominal drain was placed. There was no conversion into an open procedure, as well as intraoperative and early postoperative complications. Oral intake was started 4–10 hours after surgery. Patient follow-up was from 2 to 40 months (an average of 7.8). The average postoperative diameter of pyelon in children who had
passed more than 6 months since surgery was 9.5mm. Conclusion: Laparoscopic pyeloplasty is a safe and effective option in the treatment of children with pyelouretheric junction obstruction.
Keywords
LAPAROSCOPY; URETERO-PELVIC JUNCTION OBSTRUCTION; PYELOPLASTY; CHILDREN
Hrčak ID:
300847
URI
Publication date:
17.4.2023.
Visits: 566 *