Publication:
A Modified Antegrade Stenting Technique for Laparoscopic Pyeloplasty in Infants and Children

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Date
2016-01-01
Authors
Kalkan, SENAD
Ersoz, CEVPER
ARMAGAN, Abdullah
TASCI, Ali Ihsan
SILAY, Mesrur Selcuk
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Abstract
Objective: There are 2 critical steps of stent placement during laparoscopic pyeloplasty (LP) in children. Introduction to the ureteropelvic junction and passing through the ureterovesical junction. We aimed at overcoming those 2 steps by creating a modified technique. Methods: Consecutive 27 children undergoing transperitoneal laparoscopic dismembered pyeloplasty by a single surgeon were prospectively enrolled into this study. The modifications of our technique are using an Amplatz dilator and a closed tip stent. Results: The mean age of the children was 6.7 (range 4 months-17 years). The mean time of stent insertion was 2.7 +/- 2.0 (2-6) min and the operative time was 128.3 +/- 17.6 (90-180) min. The mean number of days of hospital stay was 2.0 +/- 0.4 (1-3). After a mean follow-up period of 20.3 +/- 4.2 (14-30) months, no operative failure was detected. Conclusion: Our modified technique is a completion of the current armamentarium for stent placement during LP in infants and children. (C) 2016 S. Karger AG, Basel
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Kalkan S., Ersoz C., ARMAGAN A., TASCI A. I. , SILAY M. S. , -A Modified Antegrade Stenting Technique for Laparoscopic Pyeloplasty in Infants and Children-, UROLOGIA INTERNATIONALIS, cilt.96, ss.183-187, 2016
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