Transperitoneal laparoscopic pyeloplasty: Brazilian initial experience with 55 cases
Autor: | Eugenio Augusto Costa de Souza, Alessandro Vengjer, Francisco A. T. Guerra, Lydston M. Rocha, Hilario A. Castro Junior, Marco T. Lasmar |
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Jazyk: | angličtina |
Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Pyeloplasty kidney Time Factors pyeloplasty Ileus Adolescent Urology media_common.quotation_subject medicine.medical_treatment laparoscopy lcsh:RC870-923 Young Adult Ureter Postoperative Complications Urinary Fistula medicine Humans Kidney Pelvis Prospective Studies Laparoscopy Hydronephrosis media_common medicine.diagnostic_test business.industry Convalescence Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery Stenosis medicine.anatomical_structure Treatment Outcome ureter treatment outcome Urologic Surgical Procedures Female business Brazil Follow-Up Studies |
Zdroj: | International braz j urol, Volume: 36, Issue: 6, Pages: 678-684, Published: DEC 2010 International braz j urol v.36 n.6 2010 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 36, Iss 6, Pp 678-684 (2010) |
Popis: | PURPOSE: To evaluate prospectively the results obtained in 55 patients undergoing laparoscopic pyeloplasty through transperitoneal access. MATERIALS AND METHODS: From January 2005 to July 2009, fifty-five patients between 13 and 64 years old, were treated for ureteropelvic junction (UPJ) stenosis via a transperitoneal laparoscopy. All patients had clinical symptoms of high urinary obstruction and hydronephrosis confirmed by imaging methods. Anderson-Hynes dismembered pyeloplasty was performed in 51 patients and Fenger technique in the other 4 cases. Patients were clinically and imaging evaluated in the postoperative period at 3 and 6 months and then followed-up annually. RESULTS: The operative time ranged from 95 to 270 min. The mean hospital stay was 2 days. The average blood loss was 170 mL. The time to return to normal activities ranged from 10 to 28 days. Anomalous vessels were identified in 27 patients, intrinsic stenosis in 23 patients and 5 patients had high implantation of the ureter. Laparoscopic pyelolithotomy was successfully performed in 6 patients with associated renal stones. That series monitoring ranged from 1 to 55 months. One patient had longer urinary fistula (11 days), 3 patients had portal infection and 6 patients had prolonged ileus. There was one conversion due to technical difficulties. From the later postoperative complications, 2 patients had re-stenosis, one determined by Anderson-Hynes technique and the other by Fenger technique. The success rate was 95.65%. CONCLUSIONS: Laparoscopic pyeloplasty has functional results comparable to conventional open technique. It offers less morbidity, with aesthetic and post-operative convalescence benefits and lower complication rates. |
Databáze: | OpenAIRE |
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