Laparoscopy in paediatric urology: present status.
The spectrum of laparoscopic surgery in children has developed dramatically; what was initially used as a diagnostic method to identify an impalpable testis is now commonly used for complex reconstructive procedures such as pyeloplasty. Laparoscopic orchidopexy and nephrectomy are well established and are used at many centres. Laparoscopic partial nephrectomy, adrenalectomy and dismembered pyeloplasty series have reported shorter hospital stays and operative times that are comparable with that of open techniques, and/or decreasing with experience. The initial experiences with laparoscopic ureteric re-implantation and laparoscopically assisted bladder reconstructive surgery are reported, with encouraging results for feasibility, hospital stay, and cosmetic outcome.
Smaldone
Marc C
MC
Urology, University of Pittsburgh Medical Center, 3471 5th Avenue, Pittsburgh, PA 15213, USA. smaldonemc@upmc.edu
Sweeney
Danielle D
DD
Ost
Michael C
MC
Docimo
Steven G
SG
D002648:Child; D005260:Female; D052776:Female Urogenital Diseases / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D008297:Male; D052801:Male Urogenital Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods* / Q000592:standards