171 / 330
171
19–22 APRIL, 2017, BARCELONA, SPAIN
RESULTS
A total of 234 laparoscopic procedures were performed, 16 of them were robot assisted. The
indications for surgery were pelviureteric junction obstruction in 83, total or partial nephrectomy in
30, cryptorchidism in 87, complicated duplex systems (VUR or obstruction) managed by ipsilateral
ureteroureterostomy in 9, urachal fistula/cysts in 4, ovarian torsions/cysts in 13 and diagnostic pro-
cedures in 8. The open umbilical access was used in all procedures. Overall there was a complica-
tion rate of 5.6% (13 out of 234). The incidence of grade I, II, III complication was 0.4%, 0.9%, 4.3%,
respectively. There was no grade IV and V complication. Complications included chylascites, febrile
urinary tract infections, dislocated double J catheter, blocked double J catheter, perianastomotic
drains dislocated, bleeding, bowel injury and injury to ureter. Many complications were catheter/
drain related therefore we adapted our operative management accordingly.
CONCLUSIONS
Our study shows that pediatric laparoscopic urological surgery is safe, although the risk of signifi-
cant injury remains. Structured clinical audit with subsequent adjustment of therapy may improve
patient outcome.