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Are weight or age limits for pediatric laparoscopic pyeloplasty? Results of a multicentric study
Indexado
WoS WOS:000954729400001
Scopus SCOPUS_ID:85150523379
DOI 10.1007/S00345-023-04359-2
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Introduction: Anderson–Hynes pyeloplasty is the technique of choice for the treatment of pyeloureteral junction obstruction (PUJO) with an excellent success rate. Minimally invasive surgery has become the standard of care for the management of PUJO in children. Although it has been comparable to the open approach at all levels, its diffusion or employment in younger children has not been widely adopted. Our aim is to evaluate laparoscopic pyeloplasty outcomes from international academic centers in children under 1 year of age, focusing on feasibility and outcomes including possible complications. Materials and methods: This is review of consecutive infants under 1 year of age who underwent laparoscopic pyeloplasty between 2009 and 2018 with more than 12 months of follow-up. Seven different training centers with different backgrounds participated in this study. Evaluation was carried out with ultrasound and renogram before and after surgery. Demographic data, perioperative characteristics, complications, and results are described and analyzed. Results: Over 9 years, 124 transperitoneal laparoscopic Anderson–Hynes pyeloplasties were performed on 123 children under 1 year of age; 88 males and 35 females, with 1 case of bilateral PUJO. Of the 124 renal units, 86 were left-sided. Mean age at surgery was 6.6 months (1 week–12 months), with 56% (n = 70) done before 6 months of age. Mean weight at surgery was 6.8 kg (3–12 kg), with 59% (n = 73) weighing less than 8 kg. Mean operative time (skin-to-skin) was 150 min (75–330 min). After a mean follow-up of 46 months (12–84 months), 12 (9%) patients developed complications, with only 1 needing a redo pyeloplasty also done laparoscopically. One child, with deterioration in renal function, underwent nephrectomy. Conclusion: Laparoscopic pyeloplasty under 1 year of age and/or less than 12 kilos is feasible with lower complication rate. Furthermore, age younger than 6 months and weight less than 8 kg are no longer limiting factors for a successful pyeloplasty as shown by this multicentre study.

Revista



Revista ISSN
World Journal Of Urology 0724-4983

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Disciplinas de Investigación



WOS
Urology & Nephrology
Scopus
Sin Disciplinas
SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 REED-LOPEZ-GUEREÑA, FRANCISCO JAVIER Hombre Clínica Alemana - Chile
Universidad de Chile - Chile
Hosp Exequiel Gonzalez Cortes - Chile
2 Recabal, X. Mujer Hospital Exequiel González Cortés - Chile
Hosp Exequiel Gonzalez Cortes - Chile
Universidad de Chile - Chile
3 Echeverria, Pilar Mujer Hospital Exequiel González Cortés - Chile
Hosp Exequiel Gonzalez Cortes - Chile
Universidad de Chile - Chile
4 Braga, Luis H. Hombre McMaster University - Canadá
4 Braga, Luis H. H. - MCMASTER UNIV - Canadá
McMaster University - Canadá
5 Cherian, Abraham Hombre Great Ormond Street Hospital for Children NHS Foundation Trust - Reino Unido
Great Ormond St Hosp Sick Children - Reino Unido
6 Gatti, John M. Hombre Children's Mercy Hospitals and Clinics - Estados Unidos
Childrens Mercy Hosp - Estados Unidos
7 Garcia-Aparicio, Luis Hombre Sant Joan de Déu Hospital - España
Hosp St Joan de Deu - España
8 Perez-Saborido, B. Mujer Sant Joan de Déu Hospital - España
Hosp St Joan de Deu - España
9 de Badiola, Francisco Hombre Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina
HOSP ITALIANO BUENOS AIRES - Argentina
10 Bujons, Anna Mujer Fundacio Puigvert - España
Fdn Puigvert - España
11 Moldes, Juan Manuel Hombre Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina
HOSP ITALIANO BUENOS AIRES - Argentina
12 Mushtaq, I. Hombre Great Ormond Street Hospital for Children NHS Foundation Trust - Reino Unido
Great Ormond St Hosp Sick Children - Reino Unido
13 LOPEZ-EGANA, PEDRO JOSE Hombre Clínica Alemana - Chile
McMaster University - Canadá
Great Ormond Street Hospital for Children NHS Foundation Trust - Reino Unido
Children's Mercy Hospitals and Clinics - Estados Unidos
Sant Joan de Déu Hospital - España
Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina
Fundacio Puigvert - España
Universidad de Chile - Chile
Hosp Exequiel Gonzalez Cortes - Chile
MCMASTER UNIV - Canadá
Great Ormond St Hosp Sick Children - Reino Unido
Childrens Mercy Hosp - Estados Unidos
Hosp St Joan de Deu - España
HOSP ITALIANO BUENOS AIRES - Argentina
Fdn Puigvert - España

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Financiamiento



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