Laparoscopic pyeloplasty in children: Is the outcome different in children under 2 years of age?

Abstract Purpose To report the outcomes of a series of children younger than 2 years with ureteropelvic junction obstruction (UPJO) who underwent laparoscopic pyeloplasty (LP), compared to children older than 2 years. Patients and methods Twenty-three children (18 male) with UPJO underwent 24 Anders...

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Bibliographic Details
Published in:Journal of pediatric urology 2008-10, Vol.4 (5), p.348-351
Main Authors: Vicentini, Fabio C, Dénes, Francisco T, Borges, Leonardo L, Silva, Frederico A.Q, Machado, Marcos G, Srougi, Miguel
Format: Article
Language:English
Subjects:
Age Factors
Children
Female
Humans
Infant
Kidney Pelvis - surgery
Laparoscopy
Male
Pediatrics
Pyeloplasty
Retrospective Studies
Treatment Outcome
Ureteral Obstruction - surgery
Ureteropelvic junction
Urology
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Summary:Abstract Purpose To report the outcomes of a series of children younger than 2 years with ureteropelvic junction obstruction (UPJO) who underwent laparoscopic pyeloplasty (LP), compared to children older than 2 years. Patients and methods Twenty-three children (18 male) with UPJO underwent 24 Anderson–Hynes transperitoneal LPs between March 2003 and July 2007. The diagnosis of UPJO was confirmed on renal sonography and diuretic renogram. Nine children were younger than 2 years (Group 1) and 14 were older (Group 2). One child had bilateral UPJO and underwent two non-simultaneous procedures. All children were investigated with postoperative diuretic renogram and renal sonography, and the results were statistically analysed. Results LP was feasible without conversions or intraoperative complications in all 24 cases. Median age in Groups 1 and 2 was 11 months (4–24) and 74 months (27–204), respectively, ( P < 0.00001). No differences were found between the groups regarding median operative time, complications, technical difficulties, discharge home and follow-up. All patients in both groups experienced resolution of symptoms or obstruction. Conclusions The LP in children younger than 2 years is highly successful with a low-rate of complications, and has the same outcomes as in older children.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2008.03.001