A Modified Antegrade Stenting Technique for Laparoscopic Pyeloplasty in Infants and Children


Kalkan S., Ersoz C., Armagan A., Tasci A. I. , Silay M. S.

UROLOGIA INTERNATIONALIS, cilt.96, ss.183-187, 2016 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 96 Konu: 2
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1159/000442213
  • Dergi Adı: UROLOGIA INTERNATIONALIS
  • Sayfa Sayısı: ss.183-187

Özet

Objective: There are 2 critical steps of stent placement during laparoscopic pyeloplasty (LP) in children. Introduction to the ureteropelvic junction and passing through the ureterovesical junction. We aimed at overcoming those 2 steps by creating a modified technique. Methods: Consecutive 27 children undergoing transperitoneal laparoscopic dismembered pyeloplasty by a single surgeon were prospectively enrolled into this study. The modifications of our technique are using an Amplatz dilator and a closed tip stent. Results: The mean age of the children was 6.7 (range 4 months-17 years). The mean time of stent insertion was 2.7 +/- 2.0 (2-6) min and the operative time was 128.3 +/- 17.6 (90-180) min. The mean number of days of hospital stay was 2.0 +/- 0.4 (1-3). After a mean follow-up period of 20.3 +/- 4.2 (14-30) months, no operative failure was detected. Conclusion: Our modified technique is a completion of the current armamentarium for stent placement during LP in infants and children. (C) 2016 S. Karger AG, Basel