Akademik Veri Yönetim Sistemi
Cocuk Cerrahisi Dergisi, cilt.21, sa.1, ss.59-61, 2007 (Scopus)
Aim: Examining the effectiveness of nephroureterectomy and upper pole nephroureterectomy via endoscopy. Material and Methods: The results of 12 patients who underwent retroperitoneoscopic and laparoscopic nephroureterectomy and upper pole nephroureterectomy in the last two years were presented. Results: Eight nephroureterectomies (2 retroperitonoscopic and 6 peritoneoscopic) were performed. Male to female ratio was 315, and average age was 9,6 (1-13 years). Minimum two and maximum five ports were used. Cholesistectomy in one, and ovarial cycst aspiration in another patient were applied during the same procedure with laparoscopic nephrectomies. Two open ureteroneocystostomies were added in two patients. Upper pole heminephrectomy was performed in four girls with an average age of 6.1 (8 months-13 years). One of these cases had a unilateral triplex collecting system. Two of the heminephrectomies were retroperitoneoscopic and two were laparoscopic. There was no difference between the durations of surgery and hospitalization of these small groups. Conclusion: Neither laparoscopic nor retroperitoneoscopic nephrectomy is superior to other regarding operating time and hospital stay. However, laparoscopic route was preferred more frequently because of its simplicity for the surgeon, and its large exposure allowing extra interventions for adjacent intraperitoneal pathologies.