title: [Laparoscopic pyeloplasty in pediatric patients: our experience].
abstract: The aim of this essay is to present our initial experience with laparoscopic pyeloplasty and highlight how some specific technical changes allowed us to improve our results. We performed a chart review of the patients that underwent laparoscopic pyeloplasty in our institution. We included patients older than 6 months old with proved stenosis of the ureteropelvic junction. We compared our first patients with the last ones in which we performed laterocolic approach in all left pyeloplasties and included a modification of the technique to place an external ureteric stent. We performed 13 laparoscopic pyeloplasties, 8 male patients and 5 female. There were 3 right pyeloplasties (23%) and 10 left ones (77%). We performed transmesocolic approach in 2 cases (left) and laterocolic approach in 11. Mean surgical time was 184 minutes in the first 8 cases and 142 in the 5 last ones. We had three cases of complications in the first group, two stents migrated to ureter and one postsurgical infection. In the last cases we had a postoperative bleeding. Laparoscopic approach is an effective option for pyeloplasty with similar results to those of the open approach in spite of a longer surgical time. Experience and specific surgical details allow us to reduce complication rate and surgical time.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid. sarafuentesc@yahoo.es
authors.forename: S
authors.initials: S
authors.lastname: Fuentes Carretero
authors.forename: D
authors.initials: D
authors.lastname: Cabezalí Barbancho
authors.forename: Andrés
authors.initials: A
authors.lastname: Gómez Fraile
authors.forename: F
authors.initials: F
authors.lastname: López Vázquez
authors.forename: C
authors.initials: C
authors.lastname: Moreno Zegarra
authors.forename: R
authors.initials: R
authors.lastname: Morante Valverde
authors.forename: M
authors.initials: M
authors.lastname: González Herrero
authors.forename: A
authors.initials: A
authors.lastname: Aransay Bramtot
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D012189:Retrospective Studies; D014517:Ureteral Obstruction / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods