Abstract：
OBJECTIVES:To assess the feasibility and results of retroperitoneal laparoscopic pyeloplasty in the treatment of ureteropelvic junction obstruction. METHODS:From September 1996 to January 1999, 15 patients underwent extraperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction. Aberrant vessels were noted in 4 patients. Dismembered pyeloplasty was performed in 7 patients and nondismembered Fenger plasty in 7 patients. Pyeloplasty was not possible in 1 patient. RESULTS:Fourteen of the 15 procedures were successfully completed. The procedure was not possible in 1 patient who had already undergone endopyelotomy repair. The mean operating time was 178 minutes (range 100 to 250), and the mean postoperative hospital stay was 4.8 days (range 1 to 14). Postoperative complications occurred in 3 patients (two hematomas and one urinoma). Radiographic assessment by intravenous urography 3 months after the procedure showed good results. CONCLUSIONS:Retroperitoneoscopy, by providing easy and rapid access to the retroperitoneal space, seems to be a valuable alternative treatment for ureteropelvic junction obstruction.
journal_name
Urologyjournal_title
Urologyauthors
Ben Slama MR,Salomon L,Hoznek A,Cicco A,Saint F,Alame W,Antiphon P,Chopin DK,Abbou CCdoi
10.1016/s0090-4295(00)00558-6subject
Has Abstractpub_date
2000-07-01 00:00:00pages
45-8issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(00)00558-6journal_volume
56pub_type
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