Laparoscopy in pediatric urology: Current applications

For decades pediatric urologists have been performing laparoscopy for non-palpable testis. The passage from diagnostic to therapeutic indications has been a long and hesitating procedure for pediatric urologists. During the 1990s laparoscopic renal surgery was limited to ablative indications and was used only in a limited number of centers. In the early experience of the procedure, the indications for laparoscopy in pediatric urology were unclear and unproven compared with the advantages of open procedures. It is only in the last several years that laparoscopy has been considered an essential part of the medical equipment of pediatric urologists and advances in technology will facilitate this expansion. In the present review, the current status of laparoscopic surgery in terms of pediatric urology was evaluated.

Pediatrik Ürolojide Laparoskopi: Güncel Uygulamalar

Pediatrik ürologlar yýllardýr non-palpable testis için laparoskopik cerrahiyi uygulamaktadýrlar. Bununla birlikte, tanýsal amaçlý kullanýmdan töropötik amaçlý kullanýma geçiþ, uzun ve çekinceli bir süreç olmuþtur. Laparoskopik renal cerrahi 1990’larda sadece belli merkezlerde ablatif endikasyonlar ile sýnýrlý kalmýþltýr. Ýlk uygulamalarda pediatrik ürolojide laparoskopinin endikasyonlarý, açýk cerrahiye göre net deðildi ve avantajlarý tam ortaya konamamýþtý. Ancak son yýllarda laparoskopi, pediatrik ürologlarýn önemli bir medikal ekipmaný haline gelmiþtir ve teknolojideki ilerlemeler bu uygulamalarý yaygýnlaþtýracaktýr. Bu derlemede, laparoskopik cerrahinin güncel durumu, pediatrik açýsýndan deðerlendirilmiþtir.