ESPU Congress 2018 - Abstract Book

127 11–14 APRIL, 2018, HELSINKI, FINLAND 10:39–10:44 S15-5 (VP) 2 CASES OF LAPAROSCOPIC TRANSURETEROURETEROSTOMY IN CHILDREN Yong Seung LEE  1 , Sang Woon KIM  1 , Sung Ku KANG  1 , Sung Hoon KIM  2 and Sang Won HAN  1 1) Yonsei University College of Medicine, Department of Urology, Seoul, REPUBLIC OF KOREA - 2) Severance Children's Hospital, Department of Pediatric Urology, Seoul, REPUBLIC OF KOREA PURPOSE Trans-uretero-ureterostomy (TUU) has been known to be a safe and reliable procedure in patients with complex ureteral problems. However, it was rarely reported with minimal invasive surgery in children. We report the feasibility and short term results of laparoscopic TUU in children. MATERIAL AND METHODS Transperitoneal laparoscopic TUU was performed in 2 children. Twelve-year-old male patient had an iatrogenic complete ureter obstruction with rupture developed one month after laparoscopic appendectomy. The other 5-year-old male patient had a history of Duhamel operation for congenital megacolon and left distal ureter obstruction developed thereafter. Ureter catheter was inserted in the beginning of each case into the recipient ureter. After ureter isolation, Sub-peritoneal tunnel was made from donor side to the recipient side. Then, donor ureter was passed to the recipient ureter. The anastomosis was performed with interrupted 6–0 sutures. Ureteral stent was placed for 6 weeks after operation. RESULTS All Two cases were successfully performed. Total operation time was 4 and 5.5 hours, respectively. Postoperative course was unremarkable without urinary tract infection, flank pain, or hydronephro- sis during follow up period. CONCLUSIONS laparoscopic TUU is feasible in children with better cosmesis. It could be applied in selected cases with complex ureteral problems. 10:44–10:50 Discussion