[Laparoscopic interventions in urology].
From December 1991 to October 1993, 230 laparoscopic operations were performed for urological indications in 205 patients, including 48 children aged between 6 months and 14 years. The rate of intra-operative complications was 2.5%. Intra-operative bleeding (2 patients), cardiovascular insufficiency (1 patient) and pneumothorax (1 patient) necessitated conversion to laparotomy in 4 patients. In another patient intra-operative bleeding occurred, which was successfully managed conservatively by means of blood transfusion. The only serious postoperative complication was a hernia at the entry site of a trocar in a 6-months-old child. A broad spectrum of different operations was performed, including diagnostic and therapeutic laparoscopy for cryptorchism and intersex states, varicocele ligature, pediatric hydrocele (transection of an open processus vaginalis), nephrectomy, ureterectomy, heminephroureterectomy, marsupialization of renal cysts and a lymphocele, pelvic and retroperitoneal lymphadenectomy, adrenalectomy, ureteral re-implantation, pyeloplasty, lumbar sympathectomy and herniotomy. The overall results were very satisfactory.
Janetschek
G
G
Universitätsklinik für Urologie, Innsbruck.
D000293:Adolescent; D000315:Adrenalectomy; D000328:Adult; D016063:Blood Loss, Surgical / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D005260:Female; D052776:Female Urogenital Diseases / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D052801:Male Urogenital Diseases; D009392:Nephrectomy; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery
Laparoskopische Eingriffe in der Urologie.