Laparoscopic pyeloplasty: evolution of a new gold standard

Urology
D A MoonC G Eden

Abstract

To report our series of laparoscopic dismembered pyeloplasty for the treatment of primary and secondary ureteropelvic junction obstruction and to review the current status of this procedure. A total of 170 consecutive cases of laparoscopic pyeloplasty (156 for primary and 14 for secondary ureteropelvic junction obstruction) were performed or supervised by a single surgeon (C.G.E). A four-port extraperitoneal approach was used in all but 3 cases, which were performed transperitoneally. The median operative time was 140 minutes. The complication rate was 7.1%, and the conversion rate was 0.6%, with no conversion in the last 161 cases. The median postoperative hospital stay was 3 nights. Crossing vessels were encountered in 42% of cases, and in 11 patients, coexisting renal calculi were successfully removed. At a median follow-up of 12 months, the success rate was 96.2%. Laparoscopic dismembered pyeloplasty produces functional results comparable to that of open surgery with the advantages of a minimally invasive procedure. Our results are consistent with previous series and support the view that laparoscopic pyeloplasty is moving rapidly toward replacing open surgery as the gold standard in the treatment of ureteropelvic junction ...Continue Reading

References

Aug 1, 1995·Urology·J B AdamsL R Kavoussi
Aug 1, 1996·British Journal of Urology·C G Eden, M J Coptcoat
Oct 6, 1997·British Journal of Urology·C G EdenR K Carruthers
Jun 20, 1998·The Urologic Clinics of North America·F J Sampaio
Jun 15, 1999·Urology·G T SungT H Hsu
Jul 4, 2001·The Journal of Urology·M SouliéP Plante
Oct 27, 2001·BJU International·C G EdenJ D Allen
Dec 18, 2001·The Journal of Urology·Jihad H KaoukInderbir S Gill
Feb 8, 2002·The Journal of Urology·Thomas W JarrettLouis R Kavoussi
Apr 12, 2002·BJU International·P A Androulakakis, A Stephanidis
May 29, 2003·The Journal of Urology·Chandru P SundaramRalph V Clayman
Feb 20, 2004·Urology·Bodo E KnudsenJohn D Denstedt
Feb 22, 2005·BJU International·Takeshi InagakiThomas W Jarrett
Mar 31, 2005·Journal of Endourology·Hidemori ArakiShinichi Ohshima
May 10, 2005·The Journal of Urology·Todd M WebsterS Duke Herrell
Sep 8, 2005·The Journal of Urology·Fatih AtugRaju Thomas

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Citations

Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mario F ChammasJacques Hubert
Feb 27, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christoph ZoellerJoachim F Kuebler
Feb 17, 2007·Current Urology Reports·Paul J Van Cangh
Oct 8, 2014·Nature Reviews. Urology·Fahd KhanProkar Dasgupta
Nov 5, 2014·Urolithiasis·Andreas SkolarikosThomas Knoll
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Stephanie J SymonsAdrian D Joyce
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Pratipal SinghAneesh Srivastava
Jun 27, 2013·International Journal of Medical Sciences·Idoia Díaz-Güemes Martín-PortuguésFrancisco Miguel Sánchez-Margallo
Oct 21, 2006·Current Opinion in Urology·Jens-Uwe StolzenburgEvangelos N Liatsikos
Jan 26, 2010·Current Opinion in Urology·Manuel S EisenbergMihir M Desai
Sep 28, 2010·Current Opinion in Urology·Jens RassweilerDogu Teber
Nov 4, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tomasz SzydełkoJerzy Lorenz
Aug 22, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fabrizio GalloClaudio Giberti
Dec 4, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·GangYue HaoHongLiang Shen
Apr 29, 2010·Current Urology Reports·Daniel Yong, David M Albala
Aug 21, 2007·Journal of Endourology·M A El-ShazlyC G Eden
Oct 19, 2007·Journal of Endourology·A BasiriS M Hosseini Moghaddam
Apr 19, 2008·Journal of Endourology·Anil RamachandranMahesh Desai
May 20, 2008·Journal of Endourology·Krishnanath GaitondeJames Donovan
Jun 27, 2008·Journal of Endourology·Lincoln J MaynesS Duke Herrell
Jan 3, 2009·Journal of Endourology·Rajesh AhlawatPrasun Ghosh
Feb 5, 2009·Journal of Endourology·Xu ZhangZhun Wu
Feb 6, 2009·Journal of Endourology·Stephanie J SymonsMahesh R Desai
May 7, 2010·Journal of Endourology·Bo YangYing-hao Sun
Nov 12, 2010·Journal of Endourology·Subhasis K GiriDaniel A Moon
Jan 18, 2011·Journal of Endourology·J Stuart Wolf
Jan 25, 2011·Journal of Endourology·Amanjot S SethiChandru P Sundaram
Apr 12, 2011·Journal of Endourology·Cristian P IlieAnurag Golash
Jun 30, 2011·Journal of Endourology·Hung-Jui TanJ Stuart Wolf
Jan 1, 2010·Journal of Robotic Surgery·Rohan Matthew HallJamie Kearsley
Aug 16, 2006·Der Urologe. Ausg. A·A JurczokP Fornara
Apr 25, 2012·Der Urologe. Ausg. A·P Bader
May 13, 2008·World Journal of Urology·Jens J RassweilerThomas Frede
Oct 29, 2011·Actas urologicas españolas·R J ValeroA García-Seguí
Feb 15, 2011·Urology·Tomasz SzydełkoRomuald Zdrojowy

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