Year-end Sale % OFF 
Abstract
Application of laparoscopy in pediatric urology has evolved over more than 30 years coming from a merely diagnostic use for non-palpable testes to “interventional” laparoscopy to extirpative surgery and finally to the era of reconstructive pediatric laparoscopic urology, when in 1995 Peters described the first laparoscopic pyeloplasty in a child. Laparoscopic surgery in pediatric urology became implemented increasingly in the twenty-first century with now present-day applications including the complete variety of all kind of indications for surgery for pediatric urological pathology. This article aims to provide a comprehensive overview of current indications, techniques, and outcomes of laparoscopic transperitoneal surgery of the upper as well as of the lower urinary tract for urological pathology in the pediatric patient population.
Highlights
Application of laparoscopy in pediatric urology has evolved over more than 30 years
Some of these laparoscopic procedures are considered as the gold standard of surgical care in the field of pediatric urology as they could proof to be comparable to if not better than conventional open surgery in terms of functional outcome along with less morbidity due to minimal invasive access
Application of laparoscopy in pediatric urology has evolved from a diagnostic use to “interventional” laparoscopy to extirpative surgery to reconstructive pediatric laparoscopic urology
Summary
Application of laparoscopy in pediatric urology has evolved over more than 30 years. Beginning with merely a diagnostic use of laparoscopy for cryptorchidism in the 1980ies, indications were broadened from “interventional” laparoscopy such as the ligation of spermatic vessels for either Fowler-Stevens procedure or varicocelectomy to extirpative surgery with the first laparoscopic nephrectomy in 1991 and the first laparoscopic partial nephrectomy in 1993, respectively. Present-day applications include the complete variety of all kind of indications for surgery for pediatric urological pathology of the upper as well as of the lower urinary tract Some of these laparoscopic procedures are considered as the gold standard of surgical care in the field of pediatric urology as they could proof to be comparable to if not better than conventional open surgery in terms of functional outcome along with less morbidity due to minimal invasive access. Laparoscopy at present day and its current use in terms of “mini-laparoscopy,” using smaller instruments and respective ports is truly minimally invasive This does result in a superior cosmesis and the achievement of a nearly no-scar surgery, and proved to provide advantages with regard to less postoperative pain, shortened hospital stay and faster recovery to normal activities. The question of why to perform a procedure laparoscopically rather than open should be replaced by “why not laparoscopically.”
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
