Hdl Handle:
http://hdl.handle.net/10147/124878
Title:
Laparoscopic pyeloplasty.
Authors:
Cheema, I A; Manecksha, R P; Flynn, R
Citation:
Laparoscopic pyeloplasty. 2010, 103 (1):24-6 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jan-2010
URI:
http://hdl.handle.net/10147/124878
PubMed ID:
20222392
Abstract:
We report our results and short term follow up of transperitoneal laparoscopic pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. We have prospectively maintained a database to document our initial experience of 54 laparoscopic pyeloplasty. All procedures were carried out by one surgeon through a transperitoneal approach. The data extends from April 2005 to September 2008 and reports operative time, blood loss, complications, hospital stay, short term follow-up on symptomatic and radiological outcome. Fifty-four procedures were performed during the study period. Mean patient age was 29 years. Mean operating time was 133 minutes (range 65-300 minutes), and mean blood loss was 45 ml (range 20-300 ml). No intra operative complication occurred. Neither blood transfusion nor conversion to open surgery was required. Postoperative mean hospital stay was 3.4 days (range 3-14 days). There were 3 anastomotic leakages; 2 in the immediate postoperative period and 1 following removal of stent. They all required percutaneous drainage and prolonged stenting. Overall 47 (87%) patients have symptomatic relief and resolution of obstruction on renogram. Four (7%) patients developed recurrence. Three (5.5%) patients had symptomatic relief but have a persistent obstructive renogram. Laparoscopic pyeloplasty is an effective alternative treatment for symptomatic pelvi-ureteric junction obstruction. The results appear comparable to open pyeloplasty with decreased postoperative morbidity.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Female; Humans; Laparoscopy; Length of Stay; Male; Middle Aged; Postoperative Complications; Recurrence; Retrospective Studies; Stents; Treatment Outcome; Ureteral Obstruction; Urologic Surgical Procedures
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorCheema, I Aen
dc.contributor.authorManecksha, R Pen
dc.contributor.authorFlynn, Ren
dc.date.accessioned2011-03-16T15:53:45Z-
dc.date.available2011-03-16T15:53:45Z-
dc.date.issued2010-01-
dc.identifier.citationLaparoscopic pyeloplasty. 2010, 103 (1):24-6 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid20222392-
dc.identifier.urihttp://hdl.handle.net/10147/124878-
dc.description.abstractWe report our results and short term follow up of transperitoneal laparoscopic pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. We have prospectively maintained a database to document our initial experience of 54 laparoscopic pyeloplasty. All procedures were carried out by one surgeon through a transperitoneal approach. The data extends from April 2005 to September 2008 and reports operative time, blood loss, complications, hospital stay, short term follow-up on symptomatic and radiological outcome. Fifty-four procedures were performed during the study period. Mean patient age was 29 years. Mean operating time was 133 minutes (range 65-300 minutes), and mean blood loss was 45 ml (range 20-300 ml). No intra operative complication occurred. Neither blood transfusion nor conversion to open surgery was required. Postoperative mean hospital stay was 3.4 days (range 3-14 days). There were 3 anastomotic leakages; 2 in the immediate postoperative period and 1 following removal of stent. They all required percutaneous drainage and prolonged stenting. Overall 47 (87%) patients have symptomatic relief and resolution of obstruction on renogram. Four (7%) patients developed recurrence. Three (5.5%) patients had symptomatic relief but have a persistent obstructive renogram. Laparoscopic pyeloplasty is an effective alternative treatment for symptomatic pelvi-ureteric junction obstruction. The results appear comparable to open pyeloplasty with decreased postoperative morbidity.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLaparoscopy-
dc.subject.meshLength of Stay-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPostoperative Complications-
dc.subject.meshRecurrence-
dc.subject.meshRetrospective Studies-
dc.subject.meshStents-
dc.subject.meshTreatment Outcome-
dc.subject.meshUreteral Obstruction-
dc.subject.meshUrologic Surgical Procedures-
dc.titleLaparoscopic pyeloplasty.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen

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