Laparoscopic Pyeloplasty in Children with Pelvi-Ureteric Junction Obstruction in Ain Shams University Hospitals: Early Experience

Abstract

he Ureteropelvic junction obstruction (UPJO) is one of the most prevalent genitourinary abnormalities in children. The main issue with this obstructive disorder is the progressive deterioration in kidney function, which can lead to renal unit loss. There are many techniques for PUJO repair, but the Anderson-Hynes pyeloplasty remains the gold standard for surgical reconstruction. Laparoscopic pyeloplasty (LP) is now widely recognized as a minimally invasive alternative for the surgical repair of uretero-pelvic junction obstruction (UPJO) in paediatrics. In this work, we aim to evaluate the feasibility, safety, and effectiveness of LP in our centre. Between April 2019 and April 2021, patients presented with indication for surgical repair of UPJO were offered laparoscopic transperitoneal Anderson Hynes pyeloplasty. Demographic data, preoperative investigations, operative data, intra or postoperative complications, as well as short and mid-term follow up were recorded. During the specified period, 12 patients underwent LP (8 boys & 4 girls) with a median age of 12 months (range from 6 to 144 months). There was no conversion to open approach with operative time ranging from 120 to 240 minutes (Mean =174 ± 36 min). No intra or postoperative complication were encountered.