Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality

Introduction: Incidence of pediatric urolithiasis has increased over the last few decades. Procedures such as extracorporeal short wave lithotripsy, percutaneous nephrolithotripsy, and ureterorenoscopic lithotripsy are not widely available for pediatric age group in many developing countries. It is...

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Autores principales:	Chhabi Ranu Gupta, Niyaz Ahmed Khan, Mamta Sengar, Anup Mohta
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	laparoscopic pyelolithotomy pediatric urolithiasis ureterolithotomy Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/893b7d4e9a934e658f7ad9f5209b7b39
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spelling	oai:doaj.org-article:893b7d4e9a934e658f7ad9f5209b7b392021-11-19T10:42:05ZLaparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality0971-92611998-389110.4103/jiaps.JIAPS_233_20https://doaj.org/article/893b7d4e9a934e658f7ad9f5209b7b392021-01-01T00:00:00Zhttp://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=401;epage=403;aulast=Guptahttps://doaj.org/toc/0971-9261https://doaj.org/toc/1998-3891Introduction: Incidence of pediatric urolithiasis has increased over the last few decades. Procedures such as extracorporeal short wave lithotripsy, percutaneous nephrolithotripsy, and ureterorenoscopic lithotripsy are not widely available for pediatric age group in many developing countries. It is desirable that advantages of minimally invasive surgery be offered to selected cases with urolithiasis. Materials and Methods: All patients with pediatric upper tract urolithiasis managed laparoscopically from January 2015 to April 2020 were retrospectively reviewed. Results: A total of 38 patients were included. The mean age of the patients was 8 ± 2.85 years. Thirty-four patients (renal and upper ureteric) were managed through retroperitoneal approach, while those with lower ureteric calculi (n = 4) were approached transperitoneally. A total of eight patients required conversion to open technique. The stone clearance rate was 79% by laparoscopic approach alone. There were no procedure-related complications. Conclusion: Our study suggests that laparoscopic management for pediatric upper tract urolithiasis is a radiation-free, single-time curative treatment and is feasible in centers where facilities for other endoscopic procedures are unavailable.Chhabi Ranu GuptaNiyaz Ahmed KhanMamta SengarAnup MohtaWolters Kluwer Medknow Publicationsarticlelaparoscopic pyelolithotomypediatric urolithiasisureterolithotomyPediatricsRJ1-570SurgeryRD1-811ENJournal of Indian Association of Pediatric Surgeons, Vol 26, Iss 6, Pp 401-403 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopic pyelolithotomy pediatric urolithiasis ureterolithotomy Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	laparoscopic pyelolithotomy pediatric urolithiasis ureterolithotomy Pediatrics RJ1-570 Surgery RD1-811 Chhabi Ranu Gupta Niyaz Ahmed Khan Mamta Sengar Anup Mohta Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
description	Introduction: Incidence of pediatric urolithiasis has increased over the last few decades. Procedures such as extracorporeal short wave lithotripsy, percutaneous nephrolithotripsy, and ureterorenoscopic lithotripsy are not widely available for pediatric age group in many developing countries. It is desirable that advantages of minimally invasive surgery be offered to selected cases with urolithiasis. Materials and Methods: All patients with pediatric upper tract urolithiasis managed laparoscopically from January 2015 to April 2020 were retrospectively reviewed. Results: A total of 38 patients were included. The mean age of the patients was 8 ± 2.85 years. Thirty-four patients (renal and upper ureteric) were managed through retroperitoneal approach, while those with lower ureteric calculi (n = 4) were approached transperitoneally. A total of eight patients required conversion to open technique. The stone clearance rate was 79% by laparoscopic approach alone. There were no procedure-related complications. Conclusion: Our study suggests that laparoscopic management for pediatric upper tract urolithiasis is a radiation-free, single-time curative treatment and is feasible in centers where facilities for other endoscopic procedures are unavailable.
format	article
author	Chhabi Ranu Gupta Niyaz Ahmed Khan Mamta Sengar Anup Mohta
author_facet	Chhabi Ranu Gupta Niyaz Ahmed Khan Mamta Sengar Anup Mohta
author_sort	Chhabi Ranu Gupta
title	Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
title_short	Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
title_full	Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
title_fullStr	Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
title_full_unstemmed	Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality
title_sort	laparoscopic surgery in pediatric upper tract urolithiasis: an alternate modality
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/893b7d4e9a934e658f7ad9f5209b7b39
work_keys_str_mv	AT chhabiranugupta laparoscopicsurgeryinpediatricuppertracturolithiasisanalternatemodality AT niyazahmedkhan laparoscopicsurgeryinpediatricuppertracturolithiasisanalternatemodality AT mamtasengar laparoscopicsurgeryinpediatricuppertracturolithiasisanalternatemodality AT anupmohta laparoscopicsurgeryinpediatricuppertracturolithiasisanalternatemodality
_version_	1718420204770295808

Laparoscopic surgery in pediatric upper tract urolithiasis: An alternate modality

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