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, vol.96, no.2, pp.183-187, 2016 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 96 Issue: 2
  • Publication Date: 2016
  • Doi Number: 10.1159/000442213
  • Journal Name: UROLOGIA INTERNATIONALIS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.183-187
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

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