Mialdea Rafael Luque, Martín-Crespo Rosa, Díaz Luis, Moreno Laura, Carrero Carmen
Servicio de Cirugía Pediátrica, Unidad de Urología Pediátrica, Complejo Hospitalario de Toledo, Toledo, España.
Arch Esp Urol. 2007 Apr;60(3):223-30.
Urologic pediatric retroperitoneoscopy has had three different stages that have conditioned, although not hindered, its development: 1) limited number of indications in the pediatric age, because pediatric surgery itself is not much invasive; 2) adaptation of the technological development from adult to children; 3) overcoming the controversies between laparoscopic and non laparoscopic pediatric surgeons. After overcoming these stages, retroperitoneoscopy has become an indispensable tool for the treatment of various diseases of the kidney, being nephrectomy the gold standard among the indications for ablation, and pyeloplasty among reconstructive, through a complete or assisted retroperitoneoscopic approach.
小儿泌尿外科后腹腔镜检查经历了三个不同阶段，这些阶段虽未阻碍但其发展却对其产生了影响：1）小儿年龄段的适应证数量有限，因为小儿外科本身侵入性不大；2）技术发展从成人向儿童的适配；3）克服腹腔镜和非腹腔镜小儿外科医生之间的争议。在克服这些阶段后，后腹腔镜检查已成为治疗各种肾脏疾病不可或缺的工具，通过完全或辅助后腹腔镜途径，肾切除术是消融适应证中的金标准，肾盂成形术是重建手术中的金标准。
