2005, Número 2
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Rev Mex Urol 2005; 65 (2)
Laparoscopia en urología pediátrica, estado actual
Garibay GF
Idioma: Español
Referencias bibliográficas: 72
Paginas: 124-136
Archivo PDF: 159.42 Kb.
RESUMEN
Objetivo. Evaluar el estado actual de la cirugía laparoscópica en urología pediátrica.
Métodos. Se realizó una búsqueda en la literatura internacional (PUBMED) y nacional para conocer las indicaciones y resultados de diferentes procedimientos laparoscópicos en urología pediátrica en los últimos 10 años (1995-2005). Hallazgos. En México se han reportado series de laparoscopia diagnóstica y terapéutica para testículos intraabdominales y varicocelectomías. En el resto de la literatura se han reportado múltiples procedimientos urológicos laparoscópicos en niños. Muchos de ellos técnicamente demandantes, con tiempos quirúrgicos comparables a la cirugía abierta, pero con estadías intrahospitalarias más cortas y resultados excelentes a corto plazo. Su uso ha evolucionado desde laparoscopia con fines diagnósticos hasta resecciones y cirugía reconstructiva. La laparoscopia asistida con robot probablemente va a aumentar el número de procedimientos técnicamente más difíciles.
Conclusiones. La cirugía laparoscópica en urología pediátrica ha ganado popularidad en la última década en el ámbito mundial, con un incremento en el número de centros hospitalarios que realizan cirugía avanzada. Actualmente, el número de procedimientos laparoscópicos está creciendo rápidamente. Son necesarios estudios prospectivos a largo plazo que validen los beneficios en relación con los procedimientos abiertos.
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