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. 2019 Apr 12;16(4):858-862.
doi: 10.5114/aoms.2019.84496. eCollection 2020.

Laparoscopic versus open pyeloplasty in children: experience of 226 cases at one centre

Marcin Polok  1 , Dominika Borselle  1 , Krystian Toczewski  1 , Wojciech Apoznański  1 , Diana Jędrzejuk  2 , Dariusz Patkowski  1
Affiliations

Laparoscopic versus open pyeloplasty in children: experience of 226 cases at one centre

Marcin Polok et al. Arch Med Sci. .

Abstract

Introduction: The aim of the study was to compare the efficacy of laparoscopic versus open dismembered pyeloplasty in children.

Material and methods: Two hundred and twenty-six Anderson-Hynes pyeloplasties were performed, out of which 131 by open access (OP) and 95 by laparoscopic access (LP). Retrospective analysis of data was performed. The median follow-up was 3 years for LP patients and 6 years for OP patients (p < 0.05).

Results: Success was achieved in 87 (91.57%) patients who had LP surgeries and in 121 (91.7%) patients who had OP (p > 0.05). Eight patients in the LP group and nine in the OP group required another surgery because of recurrent UPJO, and one patient in the OP group required a nephrectomy. The median operating time was 125 min (range: 70-225) for LP surgeries and 90 (40-200) for OP surgeries (p < 0.05). In the last 30 LP procedures, operation time decreased to a median of 95 min. Improvement in ultrasound analysis of the kidney was achieved in 89.06% of patients who had LP and 82.35% of patients who had OP. A stable or better function of the kidney in diuretic renography was achieved in 87.5% of patients in the LP group and 96.15% of patients in the OP group.

Conclusions: Laparoscopic and open pyeloplasty is a highly efficient procedure employed to treat UPJO in children with comparable success rates in both groups. In experienced hands, it is possible to reduce the LP operation time to that comparable to the OP group.

Keywords: UPJ; children; hydronephrosis; laparoscopy; lumbotomy; minimally invasive surgery; paediatric; pyeloplasty; ureteropelvic junction obstruction.

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Conflict of interest statement

The authors declare no conflict of interest.

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References

    1. Carr M, El-Ghoneimi A. Anomalies and surgery of the ureteropelvic junction. In: Campbell-Walsh Urology. 9th ed. Wein A, Kavoussi L, Novick A (eds.). Elsevier Health Sciences, Philadelphia: 2007; 3359-82.
    1. Polok M, Apoznański W. Anderson-Hynes pyeloplasty in children–long-term outcomes, how long follow up is necessary? Centr Eur J Urol 2017; 70: 434-8. - PMC - PubMed
    1. Van der Toorn F, van den Hoek J, Wolffenbuttel KP, Scheepe JR. Laparoscopic transperitoneal pyeloplasty in children from age of 3 years: our clinical outcomes compared with open surgery. J Pediatr Urol 2013; 9: 161-8. - PubMed
    1. Peters C, Schlussel R, Retik A. Pediatric laparoscopic dismembered pyeloplasty. J Urol 1995; 153: 1962-5. - PubMed
    1. Liu D, Ellimoottil C, Flum A, Casey J, Gong E. Contemporary national comparison of open, laparoscopic, and robotic-assisted laparoscopic pediatric pyeloplasty. J Pediatr Urol 2014; 10: 610-5. - PubMed
-