Laparoscopic pyeloplasty in secondary obstruction

Journal of Endourology
Artur Henrique BritoMiguel Srougi

Abstract

To evaluate the management of secondary ureteropelvic junction (UPJ) obstruction by laparoscopic pyeloplasty. Thirteen patients with symptomatic secondary UPJ obstruction undergoing laparoscopic pyeloplasty were included. Eight patients had obstruction on the right side and five patients on the left. The causes of obstruction were: failed Acucise retrograde endopyelotomy in seven patients, open pyelolithotomy in three, open pyeloplasty in one, retrograde endopyelotomy with laser in one, and laparoscopic pyeloplasty in one. Laparoscopic transperitoneal pyeloplasty was performed in all patients. A Double J stent was introduced antegrade and intraoperatively and removed 6 weeks later in all patients. Laparoscopic transperitoneal pyeloplasty was successful in 12 patients (92.3%). Operative time ranged from 135 to 270 minutes, with a mean of 195 minutes. The mean hospital stay was 2.2 days (range 2 to 5 days). Follow-up ranged from 16 to 36 months with a mean of 22.4 months. Blood loss was insignificant in all surgeries, and no conversion or intraoperative complications occurred. Laparoscopic pyeloplasty for secondary UPJ obstruction in our series was performed without conversion to open surgery. The initial results were similar to ...Continue Reading

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Citations

Jan 8, 2008·Journal of Endourology·D Duane Baldwin
Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mario F ChammasJacques Hubert
Jan 23, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ling LeungPaul Kwong Hang Tam
Jan 21, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Morihiro NishiMasatsugu Iwamura
Oct 11, 2016·World Journal of Urology·Sapan N AmbaniJ Stuart Wolf
Dec 24, 2010·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marco T C LasmarLydston M Rocha

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