Abstract
An: 2020, Nr.1, Articol Nr. 1
Title: 

COMPARISON BETWEEN OPEN AND LAPAROSCOPIC PIELOPLASTY IN CHILDREN WITH URETEROPELVIC JUNCTION OBSTRUCTION – A RETROSPECTIVE ANALYSIS REGARDING ANATOMICAL RISK FACTORS

Authors: 

      Alexandra Munteanu - “Carol Davila” University of Medicine And Pharmacy, “Carol Davila” University of Medicine And Pharmacy,
      Maria-Narcisa Neamtu, Andra Baloiu, Andrei Petrescu - “Carol Davila” University of Medicine And Pharmacy, Faculty of Medicine
      Monica Cirstoiu - “Carol Davila” University of Medicine And Pharmacy, Department of Obstetrics and Gynecology
      Octavian Munteanu - “Carol Davila” University of Medicine And Pharmacy, Department of Obstetrics and Gynecology; Department of Anatomy
      Florin Filipoiu - “Carol Davila” University of Medicine And Pharmacy, Department of Anatomy
      COMPARISON BETWEEN OPEN AND LAPAROSCOPIC PIELOPLASTY IN CHILDREN WITH URETEROPELVIC JUNCTION OBSTRUCTION – A RETROSPECTIVE ANALYSIS REGARDING ANATOMICAL RISK FACTORS (Abstract): At the moment, one of the most common cause of obstructive uropathy in children, is represented by the obstruction of the UPJ (ureteropelvic junction). This condition, diagnosed antenatally, in some cases, may evolve to a natural resolution, while in other cases it may require a surgical approach. Most pediatric surgeons still consider open pyeloplasty to be the gold standard when referring to the repair of an obstructed ureteropelvic junction. In the Department of Pediatric Surgery,“M.S. Curie” Emergency Hospital for Children, in Bucharest, we performed a retrospective study on a 5 year period, on 925 patients diagnosed with hydronephrosis due to ureteropelvic junction obstruction. Our argument, taking into consideration the experience we have had in our Pediatric Surgery Department of “M.S. Curie” Emergency Hospital for Children in Bucharest, analyzing the anatomic risk factors in children and comparing different studies from the literature, is that we shall advocate for the open pyeloplasty approach, due to the fact that in children, the procedure can be done easily by using a small incision, with very good results.
Key words: URETERO-PELVIC JUNCTION, PYELOPLASTY, PEDIATRIC, ANATOMIC RISK FACTORS
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