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Laparoscopic Management of Intrinsic Ureteropelvic Junction Obstruction (UPJO)

ESPES Manual of Pediatric Minimally Invasive Surgery, Page: 375-380
2019
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  • Citations
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Book Chapter Description

Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in infants and children. Since Anderson and Hynes described their technique of open dismembered pyeloplasty through a retroperitoneal approach, this has been considered the gold standard in surgical care for UPJO. When in 1995 Peters reported on the first pediatric laparoscopic pyeloplasty, a new era for laparoscopy in pediatric urology began. For the first time reconstructive surgery on the upper urinary tract was hereby implemented. Meanwhile pyeloplasty in children either by a laparoscopic or a retroperitoneoscopic approach has become an established technique to operate on UPJO in infants and children. The aim is to propose practical clinical guidelines for the current gold standard of laparoscopic dismembered pyeloplasty.

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