title: Laparoscopic dismembered pyeloplasty in a child with a relatively inaccessible intrarenal pelvis.
abstract: Laparoscopic pyeloplasty is an accepted way of dealing with pelviureteric junction obstruction in children with extrarenal pelvis. However, intrarenal pelvis has been considered a relative contraindication for laparoscopic pyeloplasty. Here, we describe the technique of laparoscopic dismembered pyeloplasty in a child with intrarenal pelvis. The key when one embraces laparoscopic dismembered pyeloplasty is to ensure that outcomes are not compromised. A successful outcome requires a widely patent, well-vascularised anastomosis performed free of tension.
authors: Department of Paediatric Surgery, Turku University Central Hospital, Turku, Finland. hannu.lintula@tyks.fi
authors: Hannu
authors: H
authors: Lintula
authors: Hannu
authors: H
authors: Kokki
mesh_terms: D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D021782:Multicystic Dysplastic Kidney / Q000175:diagnosis / Q000601:surgery*; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*