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VS-29 (VS without presentation)
LAPAROSCOPIC PYELOURETERAL ANASTOMOSIS FOR
THE MANAGEMENT OF VESICOURETERAL JUNCTION
OBSTRUCTION OF UPPER POLE DUPLEX RIGHT KIDNEY.
Ilia KAGANTSOV
1
, Sergey BONDARENKO
2
, Vitaly DUBROV
3
, Vladimir SIZONOV
4
,
Ilya SANNIKOV
5
and Anton GOLOVIN
5
1) Federal State Budget Educational Institution of Higher Education «Syktyvkar State University named a, Pediatric
Urology, Syktyvkar, RUSSIAN FEDERATION - 2) Regional Hospital 7, Pediatric Urology, Volgograd, RUSSIAN
FEDERATION - 3) Children Hospital 2, Pediatric Urology, Minsk, BELARUS - 4) Rostov State Medical University,
Pediatric Urology, Rostov-On-Don, RUSSIAN FEDERATION - 5) Republican Children's Clinical Hospital Syktyvkar,
Republic Komi, Russia., Pediatric Urology, Syktyvkar, RUSSIAN FEDERATION
PURPOSE
In this video, we present laparoscopic pyeloureterostomy in infant with obstructive megaureter of
upper pole duplex kidney.
MATERIAL AND METHODS
The age of the patient is 6 months. The duplication of pelvicalyceal system on both sides, uret-
erohydronephrosis of the upper pole of the right kidney were diagnosed prenatally. At the age of
four months the girl had acute pyelonephritis. Ureterohydronephrosis of the satisfactory functioning
upper pole of the right kidney was detected. No evidence of vesicoureteral reflux was defined by
voiding cystogram. Cystoscopy with insertion of the stent in to the lower pole ureter was performed.
The upper pole ureteral orifice was detected in the neck of the urinary bladder. We performed
laparoscopic ureteropyelostomy . Dilated ureter of the upper pole was removed.
RESULTS
Operation time was 110 min; blood loss was less than 10 milliliters. Ureteral stent was removed on
the 32 day after repair. During the follow-up examination six months later, good pyeloureteral anas-
tomosis patency has been marked, upper pole right kidney function is preserved. Pyelonephritis
relapse hasn't been noted in the girl.
CONCLUSIONS
We could consider this technique as a feasible nephron-sparring procedure in cases of the obstruc-
tive megaureter of the duplex kidney.
VS-30 (VS without presentation)
EXTERNALISED STENTING IN LAPAROSCOPIC
PYELOPLASTY: A NOVEL TECHNIQUE
Anand UPASANI
1
, Anu PAUL
1
and Abraham CHERIAN
2
1) Great Ormond Street Hospital, London, Paediatric Urology, Eastleigh, UNITED KINGDOM - 2) Great Ormond Street
Hospital, Paediatric Urology, London, UNITED KINGDOM
PURPOSE
Majority of surgeons leave internal stents following laparoscopic pyeloplasty which necessitates
a second anaesthetic for removal. We share a novel technique of placing external nephro-ureteric
stents obviating a second procedure for retrieval.