REOPERATIVE LAPAROSCOPIC PYELOPLASTY IN CHILDREN

摘要

Laparoscopic pyeloplasty is being performed commonly in children, although there are few reports of this treatment for persistent or recurrent ureteropelvic junction obstruction. Piaggio et al (page 1878) from Wilmington, Delaware retrospectively reviewed their experience with 10 children who underwent 11 redo pyeloplasties from 2003 to 2006. Of the patients 4 underwent open pyeloplasty and 6 were treated with transperitoneal laparoscopic pyeloplasty. The total number of previous procedures was 9 and 11 in the 6 and 4 patients, respectively. An indwelling stent was left postoperatively in all patients. Operative time was approximately 90 minutes longer in the laparoscopic group but there was a shorter hospital stay and decreased narcotics usage. The complication and success rates were similar in both groups. Further experience with laparoscopic pyeloplasty for recurrent ureteropelvic junction obstruction is warranted.