Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases

Objective: The objective of this study is to present the results of a preliminary series of 24 upper pole nephrectomies performed by retroperitoneoscopy in children between 1995 and 2000. Material and Methods: The patient was placed in the lateral supine position and 3–4 trocars were inserted. Paren...

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Veröffentlicht in:European urology 2003-04, Vol.43 (4), p.426-429
Hauptverfasser: Valla, Jean-Stéphane, Breaud, Jean, Carfagna, Luanna, Tursini, Stefano, Steyaert, Henri
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container_end_page 429
container_issue 4
container_start_page 426
container_title European urology
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creator Valla, Jean-Stéphane
Breaud, Jean
Carfagna, Luanna
Tursini, Stefano
Steyaert, Henri
description Objective: The objective of this study is to present the results of a preliminary series of 24 upper pole nephrectomies performed by retroperitoneoscopy in children between 1995 and 2000. Material and Methods: The patient was placed in the lateral supine position and 3–4 trocars were inserted. Parenchymal section was performed by ultrasound or unipolar scalpel. This series of 24 children consisted of 15 girls and 9 boys with a mean age of 22 months. Result: Three cases (12.5%) required open conversion. Nine intraoperative complications (37%) were observed and repaired intraoperatively. Five postoperative complications (20%) consisted of residual perirenal collections, requiring drainage under anaesthesia in only one case. The mean operating time was 2 hours 40 minutes. The mean hospital stay was 3.4 days. The mean follow-up was 32 months. No cases of secondary atrophy of the lower pole were observed. Conclusion: Overall, these preliminary results are comparable to those of conventional open surgery. The advantage of this method is a reduction of skin and musculo-aponeurotic scars.
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subjects Biological and medical sciences
Child
Child, Preschool
Children
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Laparoscopy - methods
Male
Medical sciences
Nephrectomy - methods
Pathological duplications
Retroperitoneal Space
Retroperitoneoscopy
Risk Assessment
Sampling Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Treatment Outcome
Upper pole nephrectomy
Ureter - abnormalities
Ureterocele - diagnosis
Ureterocele - surgery
Ureteroscopy - methods
Urogenital Abnormalities - diagnosis
Urogenital Abnormalities - surgery
title Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases
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