Laparoscopic transperitoneal dismembered pyeloplasty for ureteropelvic junction obstruction.
J Endourol
; 20(12): 1050-3, 2006 Dec.
Article
em En
| MEDLINE
| ID: mdl-17206900
ABSTRACT
PURPOSE:
To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. PATIENTS ANDMETHODS:
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obstrução Ureteral
/
Laparoscopia
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Endourol
Assunto da revista:
UROLOGIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Reino Unido