Uro-Laparoscopic Activities in Cambodia at Kantha Bopha Children’s Hospital since 2018

Sotheavy VongCambodia Speaker Uro-Laparoscopic Activities in Cambodia at Kantha Bopha Children’s Hospital since 2018Background: This is one of the largest series of laparoscopy reported in children. Laparoscopy also call minimally invasive procedure, bandied surgery or keyhole surgery is a modern surgical technique in neonates, children and adult. Laparoscopic surgery includes operations within the abdominal or pelvic cavities and in urology to perform surgery on the kidneys, bladder and other urinary tract organs. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include less pain due to smaller incision, reduced hemorrhaging, shorter hospital stays and faster recovery time. The key element is the use of a uro-laparoscope, along fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant but more easily accessible location. Purpose: This study is to carried out surgical techniques, to investigate the feasibility and outcome of URO-LAPAROSCOPIC and to evaluate the postoperative results at various ages. The management should aim to reduce pain, hemorrhaging and shorter recovery time with a minimum of complications and an improvement of life quality. To clarify the roles of various treatment strategies for surgery we reviewed our experience at Kantha Bopha Children’s Hospitals, Phnom Penh, Cambodia. Materials & Methods: We are analyzed children diagnosed as endoscopic between the periods of 2018-2024 who presented to our hospital. 2366 children were diagnosed to have problem in Thoracic, Urology and Visceral who underwent the surgical managements were investigated at Kantha Bopha Children Hospital IV, Phnom Penh, Cambodia, during the period of 7 years between 1st January 2018 to 31st Decembre 2024. Results: The outcome of all our patients after surgery was in good results with a nice comfortable lifestyle postoperative. The duration of hospital stays and recovery time is faster than open surgery, from 7-10 days to 2-4 days. The median age at presentation was 7 years, with range of 1month to 15year-old. Male children constituted 1538 cases (65%) and Female 828 cases (35%). There are 12 cases (0.5%) of laparoscopic surgery that had complications postoperative. The 1107 cases of Laparoscopic surgery were includes: pyeloplasty (Anderson-Hynes) in pelvic ureteric junction obstruction (PUJO) (98 cases), Heminephrectomy (28 cases), Nephrectomy (12 cases), Pyelolithotomy, Ureterolithotomy, Appendicitis, Peritonitis, Choledochal cyst, Gastrostomy (bezoars), Biopsy, Ovarian cyst or teratoma, Lung cystic emphysema. Moreover, in endourology surgery, 1259 cases with in Posterior urethral valve (56 cases), Ureterocele (41 cases) and Meatus ureteral stenosis (145 cases). Conclusion: Technological advancements have produced smaller endoscopic instruments with higher quality imaging that allow endoscopic surgeons to perform precise dissection with minimal bleeding to treat the patients in order to achieve the best outcome with more comfortable. Therefore, we are trying our best on the endoscopy procedures in our country to improve the technical and the quality postoperative lifestyle to all the children. Keywords: Advantages of Uro-laparoscopy, Anderson-Hynes’s procedure (PUJO), Posterior urethral valve