{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:28:54Z","timestamp":1777937334989,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"\n Purpose:<\/jats:title>\n There has been a longstanding debate regarding whether lower pole renal crossing vessels on the pelvi-ureteric junction preclude the need for a dismembered pyeloplasty. A retroperitoneoscopic technique for a transposition of these vessels has not yet been described in the literature. We report our early experience of the retroperitoneoscopic vascular hitch procedure for transposition of lower pole renal crossing vessels, including technique and outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Single-center retrospective review of all children who had a retroperitoneoscopic vascular hitch procedure for pelvi-ureteric junction obstruction from March 2022 to April 2024. Data on symptom resolution, change in sonographic anterior-posterior diameter (APD), MAG-3 (mercaptoacetyltriglycine) renogram curves, postoperative length of stay, complications, and further surgical interventions were collected. Results are reported as median and interquartile range.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Ten patients (70% male, median age 11.7 years, range 8\u201313 years) with preoperative APD of 34 mm (23\u201340) over the 2-year period were included. One patient received an on-table diuretic stress test. Seven out of 10 patients had day-case surgery, and 3 patients had an overnight stay. The follow-up period was 343 days (122\u2013456). Postoperative APD was 13 mm (6\u201323), and the change in APD was \u221218 mm (\u221225 to \u221210). No loss of function or uptake areas on MAG-3 scans were observed. Two patients received antibiotics for a presumed urinary tract infection in the postoperative period. Symptom resolution was achieved in 90% of patients, and 1 patient underwent robotic-assisted dismembered pyeloplasty 10 months later.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Retroperitoneoscopic vascular hitch for lower pole renal crossing vessels is an acceptable alternative to dismembered pyeloplasty in selected pediatric cases.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10926429251385352","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:53:17Z","timestamp":1759539197000},"page":"834-838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Retroperitoneoscopic Vascular Hitch Procedure for Pelvi-Ureteric Junction Obstruction in Children\u2014The Southampton Experience"],"prefix":"10.1177","volume":"35","author":[{"given":"Rosie","family":"Cresner","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Birmingham Children\u2019s Hospital, Birminghham, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital, Southampton, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital, Southampton, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sengamalai","family":"Manoharan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital, Southampton, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewan","family":"Brownlee","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital, Southampton, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"82","volume-title":"Urology in Outline","author":"Chapman TL","year":"1959","unstructured":"Chapman TL. Urology in outline. In: Urology in Outline. Churchill Livingstone: Edinburgh, London; 1959; p. 82."},{"issue":"1","key":"e_1_3_3_3_2","first-page":"1","article-title":"Pathogenesis and treatment of hydronephrosis","volume":"20","author":"Hellstrom J","year":"1951","unstructured":"Hellstrom J, , Giertz G, , Lindblom K. Pathogenesis and treatment of hydronephrosis. J Belge Urol, 1951; 20(1):1\u20136.","journal-title":"J Belge Urol"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2005.11.017"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.05.055"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)45186-X"},{"issue":"11","key":"e_1_3_3_7_2","first-page":"2047","article-title":"The \u201cwell tempered\u201d diuretic renogram: A standard method to examine the asymptomatic neonate with hydronephrosis or hydroureteronephrosis. A report from combined meetings of The society for fetal urology and members of the pediatric nuclear medicine council\u2013the society of nuclear medicine","volume":"33","author":"Conway JJ","year":"1992","unstructured":"Conway JJ, , Maizels M. The \u201cwell tempered\u201d diuretic renogram: A standard method to examine the asymptomatic neonate with hydronephrosis or hydroureteronephrosis. A report from combined meetings of The society for fetal urology and members of the pediatric nuclear medicine council\u2013the society of nuclear medicine. J Nucl Med, 1992; 33(11):2047\u20132051.","journal-title":"J Nucl Med"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2019.03.023"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.04.023"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.10.005"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000019930"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4081\/pmc.2023.309"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429251385352","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251385352","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251385352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:01:01Z","timestamp":1777694461000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429251385352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,1]]}},"alternative-id":["10.1177\/10926429251385352"],"URL":"https:\/\/doi.org\/10.1177\/10926429251385352","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]}}}