%0 Journal Article
%T Outcomes of infants undergoing laparoscopic pyeloplasty: A single
%A Kaan Karam£¿k
%A Mahmut Ekrem £¿slamo£¿lu
%A Murat Sava£¿
%A Mutlu Ate£¿
%A £¿brahim Erol
%J Urologia Journal
%@ 1724-6075
%D 2019
%R 10.1177/0391560318802165
%X The aim of this study was to evaluate the outcomes of laparoscopic pyeloplasty in children less than 12£¿months of age. The records of 20 infants, who had pelviureteric junction obstruction and subsequently underwent LP from January 2013 to November 2016 with at least 1£¿year of follow-up, were retrospectively reviewed. Patients demographics, the results of preoperative and postoperative imaging studies, perioperative details, complications, and results were noted. The mean age of 20 infants was 4.75£¿months. The gender of cases was 5 females (25%) and 15 males (75%). Of that, 13 (65%) laparoscopic pyeloplasties were in left side and 7 (35%) were in right side. No cases needed open conversation. Aberrant crossing vessel was observed in three patients (15%). The mean operation time was 79.35£¿min (45¨C128£¿min). The mean hospital stay was 2.9£¿¡À£¿0.308£¿days (2¨C3£¿days). There were complications in three children (15%); two patients developed stent migration and one child had fever over 38¡ã. Three children with complications did not require a second intervention. In one child, the kidney was non-functioning in follow-up and nephrectomy was performed. The anteroposterior diameter significantly reduced. Preoperative mean value was 24.305£¿¡À£¿5.6157 and postoperative mean value was 15.40£¿¡À£¿6.030 (p£¿=£¿0.000, p£¿<£¿0.05). There was a significant degree of improvement in renal split function for all patients. Preoperative mean values were 45.53£¿¡À£¿11.512, while postoperative values were 47.850£¿¡À£¿13.347 (p£¿=£¿0.029, p£¿<£¿0.05). Although there are doubts about the reliability and efficacy of results for pyeloplasty in children less 12£¿months, many studies including this study show that laparoscopic pyeloplasty is an effective and reliable method for infants
%K Infant
%K pyeloplasty
%K laparoscopy
%K pediatrics
%U https://journals.sagepub.com/doi/full/10.1177/0391560318802165