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01-08-2020 | Renal Ultrasonography | Original Article

Laparoscopic retroperitoneal approach for retrocaval ureter in children

Authors: Matthieu Peycelon, Grégory Rembeyo, Anca Tanase, Cécile Olivia Muller, Thomas Blanc, Hamdan Alhazmi, Annabel Paye-Jaouen, Alaa El Ghoneimi

Published in: World Journal of Urology | Issue 8/2020

Abstract

Purpose

Retrocaval ureter (RCU) is a rare congenital anomaly and published data on pediatric laparoscopic management are poor. The aim of this study was to report our experience of retroperitoneal laparoscopic approach for management of RCU in children.

Methods

A retrospective review of data from patients treated for RCU between 2002 and 2018 in our institution was performed. All patients were positioned in a flank position and underwent a three-port (5-mm optical trocar and two 3-mm trocars) laparoscopic retroperitoneal ureteroureterostomy. Anastomosis was made by 6/0 absorbable sutures. A JJ stent was always inserted.

Results

Five patients with a median age of 94 months (5–152) were operated on and followed up for a median time of 103 months (46–201). Median operating time was 200 min (160–270). No conversion and no transfusion occurred. Median hospital stay was 2 days (1–4). Ureteral stent was removed after 52 days (47–82). Complications included pyelonephretis (N = 1). In all cases, hydronephrosis decreased postoperatively.

Conclusions

Retroperitoneal laparoscopic approach for RCU is safe and effective in children. Our video demonstrates different patients with specific surgical details to show how to manage these children. The global vision of the upper tract by laparoscopy leads to optimal management of these children even if the anomaly was not detected preoperatively.

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Title: Laparoscopic retroperitoneal approach for retrocaval ureter in children
Authors: Matthieu Peycelon
Grégory Rembeyo
Anca Tanase
Cécile Olivia Muller
Thomas Blanc
Hamdan Alhazmi
Annabel Paye-Jaouen
Alaa El Ghoneimi
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keywords: Renal Ultrasonography
Laparoscopy
Published in: World Journal of Urology / Issue 8/2020
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-019-02849-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic retroperitoneal approach for retrocaval ureter in children

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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