Laparoendoscopic single-site (LESS) pyeloplasty is an attractive alternative procedure for uretero-pelvic junction (UPJ) obstruction. This procedure offers excellent cosmesis and similar surgical outcomes to conventional laparoscopic pyeloplasty. Pediatric patients are reported to be particularly suitable for LESS, because the size of the surgical incision in pediatric patients increases with growth. There are increasing numbers of reports of LESS being tried in pediatric cases. In this chapter, we describe our recent operative methods and important technical points for LESS pyeloplasty in children.
Laparoendoscopic single-site surgery (LESS) Pyeloplasty Pediatrics
This is a preview of subscription content, log in to check access.
Brandao LF, Laydner H, Zargar H, et al. Laparoendoscopic single site surgery versus conventional laparoscopy for transperitoneal pyeloplasty: a systematic review and meta-analysis. Urol Ann. 2015;7:289–96.PubMedPubMedCentralGoogle Scholar
Desai MM, Rao PP, Aron M, et al. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 2008;101(1):83–8.CrossRefGoogle Scholar
Kaouk JH, Autorino R, Kim FJ, et al. Laparoendoscopic single-site surgery in urology : worldwide multi-institutional analysis of 1076 cases. Eur Urol. 2011;60:998–1005.CrossRefGoogle Scholar
Kawauchi A, Naitoh Y, Miki T. Laparoendoscopic single-site surgery for pediatric patients in urology. Curr Opin Urol. 2011;21:303–8.CrossRefGoogle Scholar
Marietti S, DeCambre M, Fairbanks T, et al. Early experience with laparoendoscopic single-site surgery in the pediatric urology patient population. J Endourol. 2010;24:1321–4.CrossRefGoogle Scholar
Merseburger AS, Herrmann TRW, Shariat SF, et al. EAU guidelines on robotic and single-site surgery in urology. Eur Urol. 2013;64:277–91.CrossRefGoogle Scholar
Naitoh Y, Kawauchi A, Kamoi K, et al. Nephrolithotomy performed concurrently with laparoendoscopic single-site pyeloplasty. Urology. 2014;83:243–6.CrossRefGoogle Scholar
Naitoh Y, Kawauchi A, Yamada Y, et al. Laparoendoscopic single-site versus conventional laparoscopic pyeloplasty: a matched pair analysis. Int J Urol. 2014;21:793–6.CrossRefGoogle Scholar
Rais-Bahrami S, Rizkala ER, Cadeddu JA, et al. Laparoendoscopic single-site pyeloplasty: outcomes of an international multi-institutional study of 140 patients. Urology. 2013;82:366–72.CrossRefGoogle Scholar
Sato F, Nakagawa K, Kawauchi A, et al. Laparoendoscopic single-site surgeries: a multicenter experience of 469 cases in Japan. Int J Urol. 2017;24:69–74.CrossRefGoogle Scholar
Tugcu V, Ilbey TO, Polat H, et al. Early experience with laparoendoscopic single-site pyeloplasty in children. J Pediatr Urol. 2011;7:187–91.CrossRefGoogle Scholar
Yamada Y, Naitoh Y, Kobayashi K, et al. Laparoendoscopic single-site surgery for pediatric urologic disease. J Endourol. 2016;30:24–7.CrossRefGoogle Scholar
Zhou H, Sun N, Zhang X, et al. Transumbilical laparoendoscopic single-site pyeloplasty in infants and children: initial experience and short-term outcome. Pediatr Surg Int. 2012;28:321–5.CrossRefGoogle Scholar