Laparoscopic transperitoneal dismembered pyeloplasty for ureteropelvic junction obstruction.

Abstract:

PURPOSE:To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. PATIENTS AND METHODS:From April 2001 to April 2005, 36 men and 34 women underwent LDP for symptomatic and radiologically proved ureteropelvic junction (UPJ) obstruction. A successful outcome was defined clinically by improvement in symptoms and objectively by improvement in the diuretic renography study performed at 3 and 12 months after reconstruction. RESULTS:The mean operative time was 160.5 +/- 45 minutes with a mean blood loss of 77.8 +/- 52.8 mL. There were no conversions to open surgery. Lower-pole vessels were observed in 38 patients (54.3%). In all cases, the ureter was transposed anteriorly. The mean hospital stay was 3.3 +/- 2.1 days. Postoperative complications were recorded in 4 patients (5.7%). One patient developed an anastomotic stricture. A successful outcome was achieved in 68 of the 70 patients (97.1%) at a mean follow-up of 27.6 +/- 13.2 months. CONCLUSION:Our results further strengthen the evidence that LDP has a reliable medium-term outcome with the added benefit of being minimally invasive.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Vijayanand D,Hasan T,Rix D,Soomro N

doi

10.1089/end.2006.20.1050

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1050-3

issue

12

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

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