Comparison of flank, dorsal lumbotomy and laparoscopic approaches for dismembered pyeloplasty in children older than 3 years with ureteropelvic junction obstruction

The Journal of Urology
Luis H BragaWalid A Farhat

Abstract

Selecting a surgical approach for correction of ureteropelvic junction obstruction in children is mostly driven by surgeon preference, and includes laparoscopy, flank incision and dorsal lumbotomy. Comparative analyses focusing on operative time, hospital stay and complications are lacking. We retrospectively reviewed the charts of 41 consecutive patients older than 3 years who underwent laparoscopic pyeloplasty by a single surgeon between 2005 and 2008. We compared these cases to 67 age matched cases managed by flank incision (42) or dorsal lumbotomy (25). We evaluated age at surgery, operative time, performance of retrograde pyelogram, length of hospitalization and complication/failure rates. Mean patient age was 7.3 to 8.1 years. Mean operative time was significantly longer for laparoscopy (178 minutes) compared to flank incision (144) and dorsal lumbotomy (148, p = 0.01). Mean hospital stay was significantly shorter for laparoscopy (2.3 days) compared to flank incision (3.6) and dorsal lumbotomy (3.3, p = 0.01). Complications occurred in 4 laparoscopic, 2 flank incision and 2 dorsal lumbotomy procedures. Patients who underwent laparoscopic pyeloplasty had a significantly shorter mean followup (28 months) compared to flank i...Continue Reading

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Citations

Mar 7, 2013·Journal of Pediatric Urology·Abraham Cherian, Hemant Nemade
Dec 15, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Aaron P BayneLars J Cisek
Feb 9, 2012·The Kaohsiung Journal of Medical Sciences·Coşkun SahinHakkı Uzun
Sep 17, 2013·Urology·Rodrigo L P RomaoWalid A Farhat
Jan 23, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ling LeungPaul Kwong Hang Tam
Jun 26, 2015·Journal of Pediatric Urology·V V S Chandrasekharam
Nov 6, 2012·The Journal of Urology·Robert M TurnerMichael C Ost
Jun 20, 2012·Actas urologicas españolas·C E Lasso-BetancorR Gosalbez
Apr 30, 2011·Journal of Pediatric Urology·Abdol-Mohammad KajbafzadehSaman Shafaat Talab
Aug 16, 2015·Current Urology Reports·Ryan W Tubre, John M Gatti
Apr 15, 2015·The Journal of Urology·Ryan S HsiJonathan D Harper
Aug 25, 2016·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Manoj KumarM S Ansari
Mar 13, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Miyuki KohnoMasayuki Kubota
Feb 15, 2021·Journal of Pediatric Urology·Ketaki V GharpureK K Govindarajan
Jul 7, 2021·Pediatric Surgery International·Bruce GaoMartin Koyle
Dec 12, 2019·Urologia Internationalis·Asmaa IsmailAhmed Kotb

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