Laparoscopic Ureterolithotomy in Children: With and Without Stent — Initial Tertiary Care Center Experience with More Than 1-Year Follow-Up

Eur J Pediatr SurgDOI: 10.1055/s-0036-1572551 Background The purpose of our study was to assess the safety and feasibility of transperitoneal laparoscopic ureterolithotomy (LU) in children with ureteric stones with and without a stent. Method Impacted ureteric stone of size ≥ 1.5 cm or ureteric stones that were refractory to shock wave lithotripsy (SWL)/ureteroscopy (URS) were considered for LU. From December 2009 to April 2012, 50 cases of LU were performed with a stent being placed. From May 2012 onward we now perform stentless LU and till now we have done approximately 64 such type of cases. Out of these, 48 have completed more than 1 year of follow-up and we took these as our study group and the previous 50 (LU with stent) as our control group. Baseline characteristics along with certain per- and postoperative findings of the two groups were noted and analyzed. Ultrasonography and X-ray kidney, ureter, and bladder region were done at 3, 9 months, 1 year, and yearly thereafter. Intravenous urography was done at 6 months statistical analysis was performed by using SPSS ver. 21 (SPSS Inc., Chicago, Illinois, United States). The data were analyzed by using the Mann–Whitney test and a p value of 
Source: European Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research

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A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22Gy radiotherapy and 4 cycles chemotherapy(VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter were reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 ml, and intravenous urography revealed no urine leakage.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22 Gy radiotherapy and 4 cycles chemotherapy (VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter was reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 mL, and intravenous urography revealed no urine leakage.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Pediatric Case Reports Source Type: research
ConclusionIn bladder endometriosis a combined approach with the urologist can assist in safely excising deep bladder endometriosis without removal of normal bladder tissue. Stents placed in the ureter assist in avoiding injury to the ureters. Demarcating the endometriotic nodule by the urologist through the bladder and excising the bladder nodule laparoscopically is both safe and effective.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionIn bladder endometriosis, a combined approach with the urologist can assist in safely excising deep bladder endometriosis without removal of normal bladder tissue. Stents placed in the ureter assist in avoiding injury to the ureters. Demarcating the endometriotic nodule by the urologist through the bladder and excising the bladder nodule laparoscopically is both safe and effective.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Conclusion: Laparoscopic retroperitoneal ureterolithotomy has low rate of conversion to open surgery and an acceptable overall complication rates. In selected patients with impacted, hard, large ureteral stones, which are likely to cause diffi-culty in endo-urological procedures, laparoscopic ureterolithotomy is a reason-able treatment option.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
Conclusions: Laparoscopic pyeloplasty and concomitant flexible renoscopy through lowermost trocar with basket extraction is a simple, attractive alternative for the simultaneous treatment of ureteropelvic junction obstruction presenting with coexisting nephrolithiasis. This method is useful and feasible, with minimal invasiveness and an early post-operative recovery.
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
We describe a rare complication during cystogram due to unrecognized inadvertently placed urinary catheter in ureter, resulting in a life-threatening situation. A 47-year-old multiparous female underwent total laparoscopic hysterectomy for adenomyosis. During early postoperative period, she developed vesicovaginal fistula and transvaginal repair of fistula was done. During filling cystography done at 2 weeks, she developed right loin pain and urosepsis. Contrast extravasation was seen in the right renal subcapsular space with Foley's catheter inside the right ureter. Subsequently, she recovered well.
Source: Journal of Clinical Imaging Science - Category: Radiology Authors: Source Type: research
CONCLUSIONS: Transperitoneal LHNU is a minimally invasive method that can be used safely in pediatric patients. Using a standardized technique during the procedure is critical to increase the success and decrease the complication rates. PMID: 29787375 [PubMed - as supplied by publisher]
Source: Canadian Urological Association Journal - Category: Urology & Nephrology Authors: Tags: Can Urol Assoc J Source Type: research
The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examin...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
Conclusions: Transperitoneal or retroperitoneal approach can be considered equivalent as parameters like operative time, results are comparable for these two modalities. We preferred transperitoneal approach as it provides good working space for intracorporeal suturing.
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research
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