[Laparoscopic interventions in pediatric urology].
Between January 1992 and June 1993 a total of 36 children underwent laparoscopic surgery in our department. On account of its superior validity, diagnostic laparoscopic surgery for nonpalpable testicles has become a viable alternative to the currently available imaging techniques. Furthermore, diagnostic laparoscopy has the benefit of enabling the surgeon to proceed directly with adequate therapy. Our results gained in 29 pediatric laparoscopic procedures for varicoceles show that it is a very efficient technique that entails few complications. The varicocele persisted in only 1 of the 29 children. In 2 patients laparoscopic nephrectomy was performed, which in technical terms turned out to be less complicated than in adults. Postoperatively, 1 patient developed an incarcerated hernia at the site of trocar insertion. In 2 patients a laparoscopic Lich-Gregoir procedure was performed for vesicoureteral reflux, which, however, cannot yet be considered a viable alternative to the conventional operative techniques.
Janetschek
G
G
Urologische Universitätsklinik, Innsbruck.
Reissigl
A
A
Peschel
R
R
Bartsch
G
G
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000002:abnormalities*; D020706:Laparoscopes; D008297:Male; D009392:Nephrectomy / Q000295:instrumentation*; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014646:Varicocele / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery
Laparoskopische Eingriffe in der Kinderurologie.