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 |
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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. |
doi_str_mv | 10.1016/S0302-2838(03)00043-5 |
format | Article |
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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.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/S0302-2838(03)00043-5</identifier><identifier>PMID: 12667725</identifier><identifier>CODEN: EUURAV</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>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</subject><ispartof>European urology, 2003-04, Vol.43 (4), p.426-429</ispartof><rights>2003 Elsevier Science B.V.</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-afbf00fd62b8a2d12e7223b90d4ff31f9112ddf807038807faa07c6924029ac93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0302283803000435$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14709678$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12667725$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valla, Jean-Stéphane</creatorcontrib><creatorcontrib>Breaud, Jean</creatorcontrib><creatorcontrib>Carfagna, Luanna</creatorcontrib><creatorcontrib>Tursini, Stefano</creatorcontrib><creatorcontrib>Steyaert, Henri</creatorcontrib><title>Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases</title><title>European urology</title><addtitle>Eur Urol</addtitle><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.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrectomy - methods</subject><subject>Pathological duplications</subject><subject>Retroperitoneal Space</subject><subject>Retroperitoneoscopy</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Treatment Outcome</subject><subject>Upper pole nephrectomy</subject><subject>Ureter - abnormalities</subject><subject>Ureterocele - diagnosis</subject><subject>Ureterocele - surgery</subject><subject>Ureteroscopy - methods</subject><subject>Urogenital Abnormalities - diagnosis</subject><subject>Urogenital Abnormalities - surgery</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtv1DAQgC0EokvhJ4B8AZVDYGwncdILostTqgDR7tly7LFqlMTBziL2zB_H6Ub0yMWWZr55fYQ8ZfCKAatfX4EAXvBGNGcgXgJAKYrqHtmwRopCVjXcJ5t_yAl5lNKPDImqFQ_JCeN1LSWvNuTPdUQ9DzjONDi6izhjDAZ7pGGk7_ZTj7_X6Pk53U0TRvot5OwXnG4imjkMB9od6HecY8hJP4cRQzJhOlA_0u2N723EkV7ohHZpqelVpjAt03hJtzmeHpMHTvcJn6z_Kdl9eH-9_VRcfv34efv2sjCVaOZCu84BOFvzrtHcMo6Sc9G1YEvnBHMtY9xa14AE0eTXaQ3S1C0vgbfatOKUvDj2nWL4ucc0q8GnfGuv8877pKRgZS0Ey2B1BE0MKUV0aop-0PGgGKjFvrq1rxa1CoS6ta-qXPdsHbDvBrR3VavuDDxfAZ2M7l3Uo_HpjisltLVsMvfmyGHW8ctjVMl4HA1av0hXNvj_rPIXO5ihgA</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>Valla, Jean-Stéphane</creator><creator>Breaud, Jean</creator><creator>Carfagna, Luanna</creator><creator>Tursini, Stefano</creator><creator>Steyaert, Henri</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030401</creationdate><title>Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases</title><author>Valla, Jean-Stéphane ; Breaud, Jean ; Carfagna, Luanna ; Tursini, Stefano ; Steyaert, Henri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-afbf00fd62b8a2d12e7223b90d4ff31f9112ddf807038807faa07c6924029ac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrectomy - methods</topic><topic>Pathological duplications</topic><topic>Retroperitoneal Space</topic><topic>Retroperitoneoscopy</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Treatment Outcome</topic><topic>Upper pole nephrectomy</topic><topic>Ureter - abnormalities</topic><topic>Ureterocele - diagnosis</topic><topic>Ureterocele - surgery</topic><topic>Ureteroscopy - methods</topic><topic>Urogenital Abnormalities - diagnosis</topic><topic>Urogenital Abnormalities - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valla, Jean-Stéphane</creatorcontrib><creatorcontrib>Breaud, Jean</creatorcontrib><creatorcontrib>Carfagna, Luanna</creatorcontrib><creatorcontrib>Tursini, Stefano</creatorcontrib><creatorcontrib>Steyaert, Henri</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valla, Jean-Stéphane</au><au>Breaud, Jean</au><au>Carfagna, Luanna</au><au>Tursini, Stefano</au><au>Steyaert, Henri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Ureterocele on Duplex Ureter:: Upper Pole Nephrectomy by Retroperitoneoscopy in Children Based on a Series of 24 Cases</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2003-04-01</date><risdate>2003</risdate><volume>43</volume><issue>4</issue><spage>426</spage><epage>429</epage><pages>426-429</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><coden>EUURAV</coden><abstract>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.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>12667725</pmid><doi>10.1016/S0302-2838(03)00043-5</doi><tpages>4</tpages></addata></record> |
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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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