■ Laparoscopic procedures in children are well tolerated and have an excellent potential for improving surgical outcomes with reduced morbidity in a variety of urological procedures.

■ It is important to recognize the unique characteristics of laparoscopic surgery in children. While many of the principles of laparoscopy in adults are completely applicable to children, the smaller size, distinct tissue textures and strengths, and their lack of physiological reserve offer special challenges to performing these procedures in the young patient.

■ With attention to detail, recognition of a child's unique physiology, and their patterns of healing, more complex laparoscopic procedures are being more commonly performed and should continue to evolve.

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