Pediatric laparoscopic and robot-assisted laparoscopic surgery: Technical considerations

Document Type

Journal Article

Publication Date

6-1-2012

Journal

Journal of Endourology

Volume

26

Issue

6

DOI

10.1089/end.2011.0252

Abstract

Laparoscopy has become an effective modality for the treatment of many pediatric urologic conditions that need both extirpative and reconstructive techniques. Laparoscopic procedures for urologic diseases in children, such as pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation, have proven to be safe and effective with outcomes comparable to those of open techniques. Given the steep learning curve and technical difficulty of laparoscopic surgery, robot-assisted laparoscopic surgery (RAS) is increasingly being adopted in pediatric patients worldwide. Anything that can be performed laparoscopically in adults can be extended into pediatric practice with minor technical refinements. We review the role of laparoscopic and RAS in pediatric urology and provide technical considerations necessary to perform minimally invasive surgery successfully. © Copyright 2012, Mary Ann Liebert, Inc. 2012.

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