Laparoscopic primary ureterocalicostomy in children with ureteropelvic junction obstruction
RB Nerli1, Pathade Amey2, Shridhar C Ghagane3, Sushant Deole1, Murigendra B Hiremath4
1 Department of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed to be University), Belagavi, Karnataka, India
2 Department of Urology, KLES Centenary Hospital, Belagavi, Karnataka, India
3 Department of Urology, Urinary Biomarkers Research Centre, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India
4 Department of Biotechnology and Microbiology, Karnatak University, Dharwad, Karnataka, India
Dr. R B Nerli
Department of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JNMC Campus, Belagavi-590 010, Karnataka
Source of Support: None, Conflict of Interest: None
Introduction: Ureterocalicostomy (UC) involves excision of the hydronephrotic lower renal pole parenchyma and anastomosis of the dismembered ureter directly to the lower pole calyx. UC offers distinct advantages, notably for obstruction secondary to complicating anatomical anomalies of the kidney, such as horseshoe kidney. The present study was aimed to assess our experience and evaluate the outcome of primary laparoscopic UC in children with ureteropelvic junction obstruction (UPJO).
Materials and Methods: We retrospectively reviewed the clinical notes, imaging records, and laboratory investigations of all the children who had undergone laparoscopic UC as a primary procedure in our center during a 12-year period (January 2006–December 2017).
Results: Ten children (six males and four females) underwent laparoscopic primary UC for UPJO during the study period. The mean age of the children was 10.8 ± 2.78 years. The mean operating time was 175 min (range 140–210 min). No major intraoperative complications were noted.
Conclusions: Primary laparoscopic UC for UPJO with complicated renal anatomy is feasible, safe, and associated with minimal morbidity. The outcomes show adequate drainage of the pelvicalyceal system.