Skip to main content
SpringerLink
Log in

Recovery of bowel function after transperitoneal or retroperitoneal laparoscopic pyeloplasty. A multi-center study

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Aim

To document the recovery of bowel function (BF) in children after transperitoneal (TP) or retroperitoneal (RP) laparoscopic pyeloplasty.

Methods

Data were obtained retrospectively from four centers between 2008 and 2019 for TP (n = 51) and RP (n = 58). Each surgeon chose which technique to perform.

Results

Subject demographics were not significantly different. Differences in operative times were not significant (RP: 241 min versus TP: 225 min). Mean duration/requirement for postoperative epidural/intravenous analgesia were not significantly different (TP: 1.4 days versus RP: 1.3 days) and (TP: 66.7% versus RP: 67.2%), respectively. Postoperative nasogastric (NG) intubation was more common in RP (TP: 19.6% versus RP: 44.8%; p < .05). NG aspiration (TP: 0.15 mL/kg/hr versus RP: 0.16 mL/kg/hr), nausea (TP: 31.4% versus RP: 17.2%), and vomiting (TP: 19.6% versus RP: 15.5%) were not significantly different. There were no perioperative complications (including ileus). Abdominal distention was problematic in one case per group (TP: 2.0% versus RP: 1.7%). Times for oral liquid (TP: 0.69 day versus RP: 0.83 day), solid food (TP: 0.88 day versus RP 1.07 days), and the first bowel movement (TP: 2.86 days versus RP: 2.79 days), were not significantly different.

Conclusions

BF recovery would appear to be consistent, independent of technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Canon SJ, Jayanthi VR, Lowe GJ (2007) Which is better—retroperitoneoscopic or laparoscopic dismembered pyeloplasty in children? J Urol 178:1791–1795

    Article  Google Scholar 

  2. Lejus C, Delile L, Plattner V et al (1996) Randomized, single-blinded trial of laparoscopic versus open appendectomy in children: effects on postoperative analgesia. Anesthesiology 84(4):801–806

    Article  CAS  Google Scholar 

  3. Soulie M, Salomon L, Patard JJ et al (2001) Extraperitoneal laparoscopic pyeloplasty: a multicenter study of 55 procedures. J Urol 166(1):48–50

    Article  CAS  Google Scholar 

  4. El-Ghoneimi A, Farhat W, Bolduc S et al (2003) Laparoscopic dismembered pyeloplasty by a retroperitoneal approach in children. BJU Int 92(1):104–108

    Article  CAS  Google Scholar 

  5. Karsli C, El-Hout Y, Lorenzo AJ et al (2011) Physiological changes in transperitoneal versus retroperitoneal laparoscopy in children: a prospective analysis. J Urol 186(4):1649–1652

    Article  Google Scholar 

  6. Singh V, Sinha RJ, Gupta DK et al (2014) Prospective randomized comparison between transperitoneal laparoscopic pyeloplasty and retroperitoneoscopic pyeloplasty for primary ureteropelvic junction obstruction. JSLS 18(3):e2014.00366

    Article  Google Scholar 

  7. Singh V, Sinha RJ, Gupta DK et al (2013) Transperitoneal versus retroperitoneal laparoscopic ureterolithotomy: a prospective randomized comparison study. J Urol 189(3):940–945

    Article  Google Scholar 

  8. Shoma AM, El Nahas AR, Bazeed MA (2007) Laparoscopic pyeloplasty: a prospective randomized comparison between the transperitoneal approach and retroperitoneoscopy. J Urol 178(5):2020–2024

    Article  Google Scholar 

  9. Badawy H, Zoaier A, Ghoneimi T et al (2015) Transperitoneal versus retroperitoneal laparoscopic pyeloplasty in children: Randomized clinical trial. J Pediatr Urol 11(3):122e1-126

    Article  Google Scholar 

  10. Desai MM, Stzempkowski B, Matin SF et al (2005) Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. J Urol 173(1):38–41

    Article  Google Scholar 

  11. Michelet D, Andreu-Gallien J, Skhiri A et al (2016) Factors affecting recovery of postoperative bowel function after pediatric laparoscopic surgery. J Anesthesiol Clin Pharmacol 32(3):369–375

    Article  CAS  Google Scholar 

  12. Miyano G, Nakamura H, Seo S et al (2016) Pneumoperitoneum and hemodynamic stability during pediatric laparoscopic appendectomy. J Pediatr Surg 51(12):1949–1951

    Article  Google Scholar 

  13. Hyodo M, Sata N, Koizumi M et al (2012) Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience. Asian J Endosc Surg 5(2):63–68

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Juntendo University School of Medicine, Tokyo, Japan

    Go Miyano, Kazuto Suda, Shogo Seo, Takanori Ochi, Hiroyuki Koga, Geoffrey J. Lane & Atsuyuki Yamataka

  2. Department of Pediatric Urology, Saitama Children’s Hospital, Saitama, Japan

    Takayuki Masuko & Toshihiro Yanai

  3. Department of Pediatric Urology, Ibaraki Children’s Hospital, Ibaraki, Japan

    Kensuke Ohashi & Minoru Tada

  4. Department of Urology, Shizuoka Children’s Hospital, Shizuoka, Japan

    Atsushi Hamano

Authors
  1. Go Miyano
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takayuki Masuko
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kensuke Ohashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Atsushi Hamano
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kazuto Suda
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shogo Seo
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Takanori Ochi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hiroyuki Koga
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Geoffrey J. Lane
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Minoru Tada
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Toshihiro Yanai
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Atsuyuki Yamataka
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Go Miyano.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Miyano, G., Masuko, T., Ohashi, K. et al. Recovery of bowel function after transperitoneal or retroperitoneal laparoscopic pyeloplasty. A multi-center study. Pediatr Surg Int 37, 1791–1795 (2021). https://doi.org/10.1007/s00383-021-04990-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-021-04990-3

Keywords

Search

Navigation