title: Transperitoneal laparoscopic pyeloplasty for pelvic kidneys with ureteropelvic junction obstruction in children: technique and preliminary outcomes.
abstract: BACKGROUND
  Laparoscopic pyeloplasty is rapidly becoming an acceptable procedure for ureteropelvic junction obstruction in the pediatric population. We present our experience with transperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction in pelvic kidneys in pediatric patients.
  
  
  METHODS
  A transperitoneal laparoscopic approach was used for performing a pyeloplasty in 4 patients, 7 months to 8 years of age (mean age, 3.14), with ureteropelvic junction obstruction in a pelvic kidney.
  
  
  RESULTS
  Average operative time was 2.1 hours (range, 1.5 to 2.8). Mean hospital stay was 2.15 days (range, 1 to 7). No intraoperative complications were noted.
  
  
  CONCLUSIONS
  Transperitoneal laparoscopic pyeloplasty for pelvic kidneys is feasible in the pediatric population, and preliminary results appear to offer the same outcome as that seen in orthotopic kidneys.
authors.affiliation: Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
authors.forename: C William
authors.initials: CW
authors.lastname: Schwab
authors.forename: Grace
authors.initials: G
authors.lastname: Hyun
authors.forename: Francisco
authors.initials: F
authors.lastname: Garibay-Gonzalez
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Canning
authors.forename: Richard W
authors.initials: RW
authors.lastname: Grady
authors.forename: Pasquale
authors.initials: P
authors.lastname: Casale
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010537:Peritoneum; D013997:Time Factors; D014517:Ureteral Obstruction / Q000601:surgery*