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Laparoscopic Pyeloplasty

  • Pedro-José López
  • Patrick G. Duffy
  • Imran Mushtaq

Abstract

Currently the gold standard surgery for pelviureteric junction (PUJ) obstruction is the Anderson-Hynes dismembered pyeloplasty, with a success rate greater than 95%. With the advent of minimally invasive surgery (MIS), there is an increasing role for the laparoscopic approach to performing this operation. Kavoussi and Peters described the first laparoscopic pyeloplasty in children,1 and three years later, Tan described the results in the first series of six pediatric patients.2 In the last decade, laparoscopic pyeloplasty has produced success rates similar to the open approach, although the operative time remains somewhat greater.

Keywords

Renal Pelvis Minimally Invasive Surgery Laparoscopic Surgeon Needle Holder Robotic Instrument 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Peters CA. Laparoscopic and robotic approach to genitourinary anomalies in children. Urol Clin N Am 2004;31:595–605.CrossRefGoogle Scholar
  2. 2.
    Tan LH. Laparoscopic Anderson-Hynes dismembered pyeloplasty in children. J Urol 1999;162: 1045–1048.PubMedCrossRefGoogle Scholar
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    Gettman M, Peschel R, Neururer R et al. A comparison of laparoscopic pyeloplasty performed with the daVinci robotic system versus standard laparoscopic techniques: initial cases results. Eur Urol 2002; 42:453–458.PubMedCrossRefGoogle Scholar
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    Godbole P, Wilcox D, Mushtaq I, Duffy PG. Laparoscopic transposition of lower pole vessels-the “vascular hitch”: an alternative for pelvicureteric obstructions in children. J Pediatr Urol 2005; 1(3):210–211.Google Scholar
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    Binder J, Brautigam R, Jonas D et al. Robotic surgery in urology: fact or fantasy? Br J Urol 2004;94: 1183–1187.Google Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Pedro-José López
    • 1
  • Patrick G. Duffy
    • 1
  • Imran Mushtaq
    • 1
  1. 1.Department of Paediatric UrologyGreat Ormond Street Hospital for Children NHS TrustLondonUK

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