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| 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
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.
| 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 |