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Verfasst von:Gözen, Ali Serdar [VerfasserIn]   i
 Badawy, Haytham [VerfasserIn]   i
 Teber, Dogu [VerfasserIn]   i
 Assem, Akram [VerfasserIn]   i
 Rassweiler, Jens [VerfasserIn]   i
Titel:Outcome of laparoscopic upper pole heminephroureterectomy in children
Titelzusatz:a two-centre experience
Verf.angabe:Ali Serdar Gözen, Haytham Badawy, Dogu Teber, Akram Assem, Jens Rassweiler
E-Jahr:2016
Jahr:11 October 2016
Umfang:5 S.
Fussnoten:Gesehen am 30.07.2020
Titel Quelle:Enthalten in: Arab journal of urology
Ort Quelle:Amsterdam [u.a.] : Elsevier, 2011
Jahr Quelle:2016
Band/Heft Quelle:14(2016), 4, Seite 287-291
ISSN Quelle:2090-598X
Abstract:Objective To report our multicentre experience and outcomes with laparoscopic transperitoneal and retroperitoneal upper pole heminephroureterectomy (HNU) in children with renal duplex systems and impaired upper pole.Patients and methods Laparoscopic HNU was performed in 22 children (15 girls, seven boys) with a mean age of 5.9 years. A retroperitoneal approach was used in 17 patients and a transperitoneal approach in the remaining five, between 2005 and 2010. Urinary tract infection was the initial presenting symptom in all children except for one with urinary retention caused by a large ureterocele. Voiding cystourethrography and renal scintigraphy revealed dual collecting systems on the right side in 11 and on the left in 11 cases. The upper pole collecting system was non-functioning in all cases. Postoperative ultrasonography was done at 1 and 3 months, with renal scintigraphy at 3 months, to check the remaining function of the lower moiety.Results Overall, the mean operation time was 152 min (144 min for retroperitoneal and 160 min for transperitoneal). Blood loss was 10-50 mL and there were no intraoperative complications. The mean (SD) hospitalisation and postoperative follow-up were 3.5 (1.25) days and 22 (9.83) months, respectively. Postoperative recovery was uneventful and at the 3-month follow-up renal scintigraphy revealed no parenchymal loss of the remaining renal moiety.Conclusion Laparoscopic HNU in children can be performed via transperitoneal or retroperitoneal approach, both with low morbidity and with the typical benefits of laparoscopic surgery.
DOI:doi:10.1016/j.aju.2016.08.006
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.aju.2016.08.006
 DOI: https://doi.org/10.1016/j.aju.2016.08.006
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:dimercaptosuccinic acid
 DMSA
 Duplication
 heminephrectomy
 Heminephrectomy
 heminephroureterectomy
 HN
 HNU
 Laparoscopy
 Retroperitoneoscopic
 Transperitoneal
 ultrasonography
 US
K10plus-PPN:1725937859
Verknüpfungen:→ Zeitschrift

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