Retroperitoneoscopic dismembered pyeloplasty in the prone position in children Article published in Urologia Polska 2003/56/2.
authors
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Wiesław Urbanowicz 1, Michał Wojnicki 1, Maciej Kowalczyk 2
- 1 Klinika Urologii Dziecięcej Collegium Medicum Uniwersytetu Jagiellońskiego
Kierownik kliniki: dr hab. Wiesław Urbanowicz
2 Samodzielna Pracownia Scyntygrafii Klinicznej Uniwersyteckiego Szpitala Dziecięcego w Krakowie
Kierownik pracowni: dr hab. Maciej Kowalczyk
keywords
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children, hydronephrosis, retroperitoncoscopy, dismembered pyeloplasty
summary
- Objective. The most common cause of hydronephrosis in children is a pyelo-ureteric obstruction. The objective of the paper is the presentation of the experience in employing a videoscopic retroperitoneal approach with a patient in Ihe prone position.
- Material and method. In the years 2001-2002, six children with pyelo-ureleric stenosis were treated at Deparlament of Pediatric Urology, Collegium Medicum. Jagiellonian University. Cracow. AH the patients have been followed-up postoperatively for over 6 months. In one patient a conversion to a classic procedure was necessitated by a segmental ureteral involving an over 5-cm long segment.
- Results. The preliminary assessment of the outcome is promising. All the live patients subjected to a videoendoscopic reconstruction of the pyelo-ureleric junction have demonstrated improved emptying of the pyelocalyceal system.
- Conclusions. The results are good and low-invasive techniques are more and more commonly and extensively employed in the treatment of congenital defects in children.
references
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correspondence
Wiesław Urbanowicz
Klimka Urologii Dziecięcej
Uniwersytecki Szpital Dziecięcy
ul. Wielicka 265
30-663 Kraków
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