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Transperitoneal Laparoscopic pyeloplasty

Transperitoneal Laparoscopic pyeloplasty for pelvic kidneys with PUJ obstruction in children; Technique and outcome

T Manohar, SK Nandakishore , UB joshi

Centre for advanced urology and minimal invasive surgery

Columbia Asia Hospitals, Bengaluru.

Centre for advanced urology and minimally invasive surgery, Bengaluru

Introduction and objective:

Laparoscopic pyeloplasty is rapidly becoming an acceptable procedure for ureteropelvic junction obstruction in the pediatric population. We present our experience with transperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction in pelvic kidneys in pediatric patients.

Study methods:

Semi lateral postion in a modified 3-port laparoscopic trans peritoneal approach (all 5mm) was used. This video demonstrates the Ureteropyelostomy/ calycostomy approach to achieve the dependent drainage in this large intrarenal pevis with high insertion of the ureter

Results:

Retrograde pyelogram revealed large intrarenal pelvis with high insertion of the ureter. Overall duration of surgery was 92 minutes, no intraoperative complications. Catheter removed on 2nd POD. Dj stent removed 6 weeks post op.1 year follow op showed adequate drainage with out complications

Conclusion:

Laparoscopic uretero-pyelo/clycostomy is feasible in pediatric population with good outcome especially for pelvic kidney with large intrarenal pelvis