Laparoscopic and robotic surgery in pediatric urology

Bartley G. Cilento, Craig A Peters

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

The role of laparoscopy in the treatment of the intra-abdominal testis is well established from diagnostic and therapeutic viewpoints. The authors believe that the two-stage laparoscopic treatment of the intra-abdominal testis has converted a difficult one-stage procedure into two easier procedures while maintaining excellent surgical outcomes. Laparoscopic pediatric renal surgery may become an attractive alternative to open surgery and more widely used as experience is gained. In reconstructive renal surgery, such as laparoscopic pyeloplasty, the success rate approaches, but does not equal, that of open surgery. Laparoscopic renal surgery is technically feasible, reliable, and safe. Its efficacy is approaching that of conventional open renal surgery. As improvements in instrumentation continue and innovative suturing techniques are developed, laparoscopic surgery may become the standard approach for most renal pathologies. Laparoscopic ureteroneocystototomy is technically feasible, reliable, and safe; however, its advantage over standard open surgery has yet to be determined. In all of these procedures, robotic assisted laparoscopic surgery adds a new dimension and is useful for complex tasks such as intracorporeal suturing. Its disadvantages include its high cost and lack of smaller port and instrument sizes.

Original languageEnglish (US)
Pages (from-to)143-157
Number of pages15
JournalAtlas of the Urologic Clinics of North America
Volume12
Issue number1
DOIs
StatePublished - Apr 1 2004

ASJC Scopus subject areas

  • Internal Medicine
  • Nephrology
  • Urology

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