Abstract
Purpose
CAKUT is a spectrum of renal and urinary tract anomaly noted at birth. Ectopic kidney results from failure of renal ascent into the lumbar position. The most common location is pelvis. This study describes the application of minimal access surgery to correct pelvi-ureteric junction obstruction in pelvic kidney.
Methods
A retrospective study was done between 2016 and 2021 and data were collected from two independently working paediatric urologist in India. Children with a significant pelvi-ureteric junction obstruction in a pelvic kidney who had undergone laparoscopic non-dismembered pyeloplasty with Double J stent insertion were included. The stents were removed at 4–6 weeks following surgery and they were followed with ultrasonogram and renogram.
Results
We had a sample size of 10 with 7 boys and a median age of 5 years at presentation. Seven (60%) children presented with a urinary tract infection. They showed significant improvement after surgery.
Conclusion
Laparoscopic pyeloplasty is a safe alternative to open surgery in children with pelvic kidney and results were comparable to open procedure. It reduces the procedure time and aids an early recovery and discharge.
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Data availability
The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.
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Chadha, S., Babu, R. & Chandrasekharam, V.V.S. Laparoscopic pyeloplasty as treatment modality for congenital pelvi-ureteric junction obstruction in children with pelvic kidney: case series. J Ped Endosc Surg 5, 107–111 (2023). https://doi.org/10.1007/s42804-023-00186-9
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DOI: https://doi.org/10.1007/s42804-023-00186-9