Minimally invasive versus open pyeloplasty in pediatric population: Comparative retrospective study in tertiary centre

Autor: Naif Hajar Alqarni, Fahad Ali Alyami, Mohammed Abdullah Alshayie, Alhasan Mohamed Abduldaem, Mohammed Sultan, Sultan Sulaiman Almaiman, Hazim Mohammed Alsufyani, Ibrahim Sami Abunohaiah
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Urology Annals, Vol 16, Iss 3, Pp 215-217 (2023)
Druh dokumentu: article
ISSN: 0974-7796
0974-7834
DOI: 10.4103/ua.ua_101_23
Popis: Background: Ureteropelvic junction obstruction (UPJO) is the most common cause of antenatal hydronephrosis. The incidence is around 1: 750–1500 live births. The standard treatment for (UPJO) is open pyeloplasty (OP) with a high success rate of 90%–95%. In the last 20 years, minimal invasive pyeloplasty (MIP) became an excellent alternative technique to OP which was historically the standard of care. Materials and Methods: The study participants were male and female patients aged 14 years old or less who had undergone open/minimally invasive pyeloplasty during 2015–2020 and who had at least 1-year follow-up after surgery. The data were collected retrospectively from patients’ charts. The patients were categorized into two cohort groups: OP and on the other arm minimally invasive pyeloplasty (robotic/laparoscopic) comparing the outcomes as a 1ry endpoint. 2ry endpoints were hospital stay, duration of surgery, and anteroposterior diameter of renal ultrasound. Results: A total of 133 patients were included in the study. Eighty-four underwent MIP while 49 patients underwent OP. 1ry endpoint was the success rate in both groups. The success rate was 94% (n: 79) and 98% (n: 48) in patients who underwent MIP and OP, respectively. P
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