الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 139 |  |  |
| | | from | 139 | | |
Abstract
Numerous complicated pediatric surgical issues are now treatable with these techniques because to the MIS’s prodigious advancements, which also offer other advantages. Due to its success rate being comparable to the open technique and the benefits of minimally invasive access, LP has grown in popularity over the last two decades and is now the treatment of choice for the surgical repair of UPJO in many facilities. But LP continues to be a technically difficult treatment that many urologists avoid or just are not comfortable with.
The purpose of our research is to evaluate the feasibility and results of laparoscopic pyeloplasty in children with blockage of the ureteropelvic junction in terms of changes in the kidney’s scintigraphic functions, morphological alterations in ultrasonography, remission of the symptoms, and complications.
from September 2019 to November 2021, patients with UPJO at El-Chatby Children’s Hospital of Alexandria University participated in this prospective trial. All of the patients received antegrade DJ stent placement during laparoscopic transperitoneal modified dismembered pyeloplasty. The post-operative follow-up procedure includes US at 3, 6, 9, and 12 months following surgery in addition to a DTPA renography at 1 year.
There were 25 participants in the study (19 men and 6 women). The patient’s average age at surgery was 30.88 months. The weight was 14.56 kg on average. The anastomosis took an average of 80 minutes, and the whole operation took an average of 155 minutes. None of the instances required conversion to open surgery; they were all resolved laparoscopically. APRPD was reduced and cortical thickness was increased in all patients except for 4 cases. Renal split function and tracer clearance both significantly improved.