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- W2025972675 abstract "Purpose Laparoscopic surgery of the upper urinary tract in children has become the standard approach in many centers. With gaining popularity, indications have been expanded, but also borders for age and seize of patients have been pushed. This resulted in a reasonable number of patients undergoing surgery below one year of age. Material and Methods 68 infants (median age 2 months (1-11 months), 25 female, 43 male) underwent laparoscopic surgery for upper urinary tract pathology between July 2002 and October 2008. Indications were non-functioning kidneys for nephrectomy, non-functioning poles in duplex systems for partial nephrectomy and uretero-pelvic-junction obstruction for pyeloplasty. Results 22 children underwent nephrectomy, 20 children partial nephrectomy and 26 children pyeloplasty. Median operating time was 120 minutes (45-210 min), with 80 min for nephrectomies, 130 min for partial nephrectomies and 140 min for pyeloplasties. 3 complications occurred in the group undergoing pyeloplasty. Two children had a minor leakage of the anastomosis and in one patient a perforation of the colon with septic peritonitis was observed. Median follow-up was 24 months (1-59 months). Differential renal function in diuretic renography could be preserved in all patients except for the one suffering from severe peritonitis. Conclusions In infants below one year of age postoperative results are comparable to open surgery in terms of preservation of differential renal function. Operating times are competitive. Laparoscopic urological procedures in children below one year of age request a large experience in laparoscopic surgery." @default.
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- W2025972675 date "2009-04-01" @default.
- W2025972675 modified "2023-09-26" @default.
- W2025972675 title "Pediatric laparoscopic urology in children below one year of age" @default.
- W2025972675 doi "https://doi.org/10.1016/j.jpurol.2009.02.063" @default.
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