Pediatric laparoscopic and robot-assisted laparoscopic surgery: technical considerations

Laparoscopy has become an effective modality for the treatment of many pediatric urologic conditions that need both extirpative and reconstructive techniques. Laparoscopic procedures for urologic diseases in children, such as pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation, have prove...

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Bibliographic Details
Published inJournal of endourology Vol. 26; no. 6; p. 602
Main Authors Tomaszewski, Jeffrey J, Casella, Daniel P, Turner, 2nd, Robert M, Casale, Pasquale, Ost, Michael C
Format Journal Article
LanguageEnglish
Published United States 01.06.2012
Subjects
Child
Humans
Laparoscopy - instrumentation
Laparoscopy - methods
Pediatrics - instrumentation
Pediatrics - methods
Peritoneum - surgery
Robotics - instrumentation
Treatment Outcome
Urology
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Summary:Laparoscopy has become an effective modality for the treatment of many pediatric urologic conditions that need both extirpative and reconstructive techniques. Laparoscopic procedures for urologic diseases in children, such as pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation, have proven to be safe and effective with outcomes comparable to those of open techniques. Given the steep learning curve and technical difficulty of laparoscopic surgery, robot-assisted laparoscopic surgery (RAS) is increasingly being adopted in pediatric patients worldwide. Anything that can be performed laparoscopically in adults can be extended into pediatric practice with minor technical refinements. We review the role of laparoscopic and RAS in pediatric urology and provide technical considerations necessary to perform minimally invasive surgery successfully.
ISSN:1557-900X
DOI:10.1089/end.2011.0252