Complications of Pediatric Urological Laparoscopy: Mistakes and Risks
2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 4 Linguagem: Inglês
10.1097/01.ju.0000055256.43528.f6
ISSN1527-3792
AutoresCiro Esposito, Mario Lima, Girolamo Mattioli, L. Mastroianni, Antonella Centonze, G Monguzzi, L. Montinaro, Giovanna Riccipetitoni, Alfredo Garzi, Antonio Savanelli, Rocco Damiano, Mario Messina, Alessandro Settimi, G. Amici, Vincenzo Jasonni,
Tópico(s)Minimally Invasive Surgical Techniques
ResumoNo AccessJournal of UrologyPEDIATRIC UROLOGY1 Apr 2003Complications of Pediatric Urological Laparoscopy: Mistakes and Risks CIRO ESPOSITO, MARIO LIMA, GIROLAMO MATTIOLI, LUCIANO MASTROIANNI, ANTONELLA CENTONZE, GIAN LUCA MONGUZZI, LEONARDO MONTINARO, GIOVANNA RICCIPETITONI, ALFREDO GARZI, ANTONIO SAVANELLI, ROCCO DAMIANO, MARIO MESSINA, ALESSANDRO SETTIMI, GIUSEPPE AMICI, and VINCENZO JASONNI CIRO ESPOSITOCIRO ESPOSITO , MARIO LIMAMARIO LIMA , GIROLAMO MATTIOLIGIROLAMO MATTIOLI , LUCIANO MASTROIANNILUCIANO MASTROIANNI , ANTONELLA CENTONZEANTONELLA CENTONZE , GIAN LUCA MONGUZZIGIAN LUCA MONGUZZI , LEONARDO MONTINAROLEONARDO MONTINARO , GIOVANNA RICCIPETITONIGIOVANNA RICCIPETITONI , ALFREDO GARZIALFREDO GARZI , ANTONIO SAVANELLIANTONIO SAVANELLI , ROCCO DAMIANOROCCO DAMIANO , MARIO MESSINAMARIO MESSINA , ALESSANDRO SETTIMIALESSANDRO SETTIMI , GIUSEPPE AMICIGIUSEPPE AMICI , and VINCENZO JASONNIVINCENZO JASONNI View All Author Informationhttps://doi.org/10.1097/01.ju.0000055256.43528.f6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluate the results and complications of laparoscopic urological procedures in children. Materials and Methods: In a 3-year period 4,350 laparoscopic procedures were performed at 8 Italian centers of pediatric surgery. We analyzed only the data of urological procedures for a total of 701 laparoscopic operations on patients 1 month to 14 years old. The indications for surgery were cryptorchidism in 414 cases, varicoceles in 159, ambiguous genitalia in 37, total nephrectomy in 34, partial nephrectomy in 4, adrenalectomy in 3 and other diagnostic procedures in 50. We adopted a retroperitoneoscopic approach in 72 cases (10.3%) and a laparoscopic approach in 629 (89.7%). Patient records were analyzed to search for any complication that may have occurred during the laparoscopic procedure and assess how they were managed. Results: We recorded 19 complications (2.7%) in our series, of which 6 required conversion to open surgery and 13 did not. There was no mortality. At a maximum followup of 4 years all children were alive and had no problems related to the laparoscopic complications. Conclusions: Our study shows that pediatric laparoscopic urological surgery has an acceptable rate of complications with no mortality. We believe that routine use of open laparoscopy in pediatric patients is a key factor to help avoid complications. Most complications can be avoided with surgeon and team experience, together with proper compliance with the indications for surgery. References 1 : Laparoscopy in pediatric urology: too much of a good thing?. Semin Pediatr Surg1996; 5: 23. Google Scholar 2 : Laparoscopic nephrectomy in children. Semin Laparosc Surg1998; 5: 47. Google Scholar 3 : Complications of laparoscopic nephrectomy in 185 patients: a multi-institutional review. J Urol1995; 154: 479. Link, Google Scholar 4 : Complications in pediatric urological laparoscopy: results of a survey. J Urol1996; 155: 1070. 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Link, Google Scholar From the Division of Pediatric Surgery, Magna Graecia University, Catanzaro, University of Bologna, Bologna, Gaslini Institute, Genova, University of Ancona, Ancona, Buzzi Hospital, Milan, University of Bari, Bari, Annunziata Hospital, Cosenza, and the University of Siena, Siena, Italy© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByCastagnetti M (2018) Editorial CommentJournal of Urology, VOL. 182, NO. 1, (284-284), Online publication date: 1-Jul-2009.Passerotti C, Nguyen H, Retik A and Peters C (2018) Patterns and Predictors of Laparoscopic Complications in Pediatric Urology: The Role of Ongoing Surgical Volume and Access TechniquesJournal of Urology, VOL. 180, NO. 2, (681-685), Online publication date: 1-Aug-2008.Jesch N, Metzelder M, Kuebler J and Ure B (2018) Laparoscopic Transperitoneal Nephrectomy is Feasible in the First Year of Life and is Not Affected by Kidney SizeJournal of Urology, VOL. 176, NO. 3, (1177-1179), Online publication date: 1-Sep-2006. Volume 169Issue 4April 2003Page: 1490-1492 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordschildintraoperative complicationsurologylaparoscopyMetricsAuthor Information CIRO ESPOSITO More articles by this author MARIO LIMA More articles by this author GIROLAMO MATTIOLI More articles by this author LUCIANO MASTROIANNI More articles by this author ANTONELLA CENTONZE More articles by this author GIAN LUCA MONGUZZI More articles by this author LEONARDO MONTINARO More articles by this author GIOVANNA RICCIPETITONI More articles by this author ALFREDO GARZI More articles by this author ANTONIO SAVANELLI More articles by this author ROCCO DAMIANO More articles by this author MARIO MESSINA More articles by this author ALESSANDRO SETTIMI More articles by this author GIUSEPPE AMICI More articles by this author VINCENZO JASONNI More articles by this author Expand All Advertisement PDF DownloadLoading ...
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