Abstract:
BACKGROUND AND PURPOSE:Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. PATIENTS AND METHODS:In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 left). Four patients had previously had an endopyelotomy. The operation was performed using standard retroperitoneoscopic technique with the patient in a flank position. After preparation of the ureter and renal pelvis, the UPJ was resected in 22 patients in an Anderson-Hynes pyeloplasty. Twenty of these patients had a crossing vessel. The other two patients, who had small renal pelves, were operated on with a Fenger pyeloplasty. In all patients a 7F double-J stent was placed. RESULTS:The mean operative time was 189 minutes (range 70-360 minutes), and the average blood loss was 110 mL (range 50-400 mL). There were no intraoperative complications, although one patient with adhesions and scarring after previous endopyelotomy had to be converted to open surgery. The transurethral catheter was left for 7 days in the first 10 cases and for 4 days in the 14 subsequent patients. The hospitalization time was 9.7 and 7.5 days, respectively. The only postoperative complication was a urinoma, which was punctured. The double-J catheter was removed after an average of 4.6 weeks (range 4-8 weeks). Intravenous urography 6 weeks later showed no obstruction. The mean follow-up time was 11.5 months (range 1-24 months) with no signs of obstruction on ultrasonography. CONCLUSIONS:Retroperitoneoscopic pyeloplasty for UPJ obstruction is a safe and effective procedure. Our short-term results are similar to those of open pyeloplasty with the advantage of a minimally invasive approach.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Wyler SF,Bachmann A,Casella R,Gasser T,Sulser Tdoi
10.1089/end.2004.18.948subject
Has Abstractpub_date
2004-12-01 00:00:00pages
948-51issue
10eissn
0892-7790issn
1557-900Xjournal_volume
18pub_type
杂志文章abstract::The results of 10 years' experience of treating pelviureteric junction (PUJ) obstruction by balloon dilatation are reviewed, and recommendations about the suitability of the technique for individual patients are made based on the patient's history and a preoperative DTPA renogram. Of 76 patients, 32 (42%) had no furth...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.239
更新日期:1997-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.473
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abstract:: Objective: Kidney stone formers are at risk for opioid dependence. The aim of this study is to describe opiate exposure and determine predictors of prolonged opiate use among kidney stone formers after surgery. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802245
更新日期:2003-11-01 00:00:00
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pub_type: 杂志文章
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abstract::Large bladder calculi are often outside the range of treatment with conventional endoscopic lithotrites because of either anatomic factors or the mechanical limits of available instruments. Alternative methods of cystolithotripsy: ultrasonic, electrohydraulic, or laser, can prove time-consuming or even hazardous, so t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.183
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0048
更新日期:2008-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0254
更新日期:2009-11-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.411
更新日期:1997-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2006-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.35
更新日期:1993-02-01 00:00:00
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更新日期:2020-03-01 00:00:00
abstract::This is a case report of a 37-year-old man with severe testicular pain unresolved after conventional investigative and therapeutic methods. On the basis of his history of abdominal trauma followed by emergency splenectomy and evidence of functioning splenic tissue on a radionuclide scan, the diagnosis of splenosis was...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.373
更新日期:1999-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Stones break better when the rate of shockwave (SW) delivery is slowed. It has been hypothesized that the greater cavitation accompanying a fast rate shields pulse propagation, thus interfering with the delivery of SW energy to the stone. We tested this idea by correlating waveforms measured at t...
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更新日期:2008-05-01 00:00:00
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更新日期:2020-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
abstract::To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析
doi:10.1089/end.2000.14.671
更新日期:2000-10-01 00:00:00
abstract:: Introduction: Elevated intrarenal pressure (IRP) during flexible ureterorenoscopy (FURS) is a predictor of postoperative complications. The aim of this study is to evaluate IRP during FURS in a porcine kidney model to determine the safest combination of irrigation device, ...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2020-11-05 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753752232
更新日期:2002-05-01 00:00:00
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更新日期:2019-11-01 00:00:00
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更新日期:2014-11-01 00:00:00
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00