| Paediatric laparoscopic surgery. | |
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MedLine Citation:
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PMID: 12811298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: Laparoscopic procedures in paediatric urology are gaining popularity, with an increasing number of centres performing advanced surgery. Indications have expanded from diagnostic to ablative surgery and more recently to reconstructive procedures. The current status of the indications and results of different laparoscopic procedures dealing with paediatric urology are reviewed. RECENT FINDINGS: Laparoscopic orchiopexy for intra-abdominal testis gives better results than classic open surgery procedures. Palomo modified varicocelectomy with lymphatic preservation is the optimal surgical procedure to treat varicocele in adolescents. The retroperitoneal approach to renal surgery is gaining popularity. Total and partial nephrectomies are feasible in comparable operative times with open surgery and shortened hospital stays. Dismembered pyeloplasty remains a challenging procedure limited to few centres, with excellent midterm results. Laparoscopic adrenal surgery has been extended to neuroblastoma in selected cases. Laparoscopic transvesical ureteric re-implant is now feasible, and opens a new era in bladder surgery. Finally, results of the initial experience with robot-assisted pyeloplasty are now available in children, and showed similar results with regard to the postoperative course, but shorter operative times with experience. SUMMARY: The value of laparoscopic orchiopexy for intra-abdominal testis and ablative surgery such as total and partial nephrectomy and adrenalectomy has been confirmed. Robot-assisted laparoscopic surgery will probably popularize challenging procedures such as pyeloplasty and ureterovesical re-implant, which are still limited to a few centres. Despite an increase in the number of publications dealing with the results of laparoscopic procedures, efforts are still needed to validate the benefits of such procedures over open surgery. |
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Authors:
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Alaa El-Ghoneimi |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in urology Volume: 13 ISSN: 0963-0643 ISO Abbreviation: Curr Opin Urol Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-06-17 Completed Date: 2003-09-26 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9200621 Medline TA: Curr Opin Urol Country: United States |
Other Details:
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Languages: eng Pagination: 329-35 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Hôpital Robert Debré, Faculty of Medicine Bichat, University of Paris, France. alaa.elghoneimi@rdb.ap-hop-paris.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adrenal Glands / surgery Child Child, Preschool Cryptorchidism / surgery Female Humans Kidney Pelvis / surgery Laparoscopy* Male Nephrectomy Urogenital Surgical Procedures Urologic Surgical Procedures Varicocele / surgery Vesico-Ureteral Reflux / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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