title: Minimal incision laparoscopy assisted open pediatric pyeloplasty.
abstract: Minimal incision laparoscopy-assisted open pyeloplasty (MILAP) incorporates elements of open pyeloplasty (OP) and single incision laparoscopy to improve technical ease and cosmetic outcomes. Six MILAP procedures were performed using a single transumbilical incision through which the ureteropelvic junction (UPJ) is mobilized with standard laparoscopic instrumentation. The UPJ is brought extracorporeally through a 1-cm flank incision, and a traditional Anderson-Hynes open pyeloplasty is performed. Compared with OP, perioperative outcomes were similar. Follow-up renal scans all showed improvement of obstruction. A 1-cm flank incision is the only obvious scar.
authors: Department of Urology, University of California - San Diego Health System, San Diego, CA, USA. Electronic address: jaw020@ucsd.edu.
authors: Jason R
authors: JR
authors: Woo
authors: Department of Urology, University of California - San Diego Health System, San Diego, CA, USA; Department of Urology, Rady Children's Hospital, San Diego, CA, USA.
authors: Sarah
authors: S
authors: Marietti
authors: Department of Urology, Naval Medical Center, San Diego, CA, USA.
authors: James
authors: J
authors: Masterson
authors: Department of Urology, University of California - San Diego Health System, San Diego, CA, USA; Department of Urology, Rady Children's Hospital, San Diego, CA, USA.
authors: George
authors: G
authors: Chiang
mesh_terms: D000293:Adolescent; D016063:Blood Loss, Surgical; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000517:prevention & control; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D042282:Microdissection / Q000379:methods; D061646:Operative Time; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*
keywords: Laparoscopy; Minimally-invasive; Pediatric pyeloplasty; UPJ obstruction