Long-Term Outcome of Laparoscopic Pyeloplasty: Multicentric Comparative Study of Techniques and Accesses
- 1 June 2011
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Laparoendoscopic & Advanced Surgical Techniques
- Vol. 21 (5), 399-403
- https://doi.org/10.1089/lap.2010.0281
Abstract
Purpose: The aim of the present study was to analyze long-term follow up (18–108 months) of different techniques and routes for laparoscopic repair of uretero-pelvic junction obstruction comparing efficacy and results. Materials and Methods: A retrospective analyses of 133 laparoscopic pyeloplasties in 132 patients (mean age 35 years) between August 1995 and November 2008 was performed. Transperitoneal route was performed in 114 patients, and retroperitoneal route was performed in 19 patients. Different repair techniques (dismembered and non-dismembered) were applied at the surgeon's discretion. Results: Average operative time was 127 minutes (range 45–370). Average blood loss was 127 mL, and mean hospital stay was 24 hours. Complications occurred in 9.6% of surgeries, and conversion rate was 1.7%. Urinary leak occurred after eight (6.1%) surgeries, all managed conservatively. Overall success rate of laparoscopic repair was 96%, higher for dismembered versus non-dismembered procedures (97% versus 89%, P=.04). Conclusion: Laparoscopic pyeloplasty is a reproducible, highly effective, and minimally invasive treatment for uretero-pelvic junction obstruction. Surgical technique affects operative time and long-term success rates. Dismembered techniques seem to remain more effective after a long-term follow up. Surgical route does not seem to affect success rates.Keywords
This publication has 20 references indexed in Scilit:
- Laparoscopic versus open pyeloplasty: Comparison of two surgical approaches- a single centre experience of three yearsJournal of Minimal Access Surgery, 2008
- Robot Assisted Laparoscopic Pyeloplasty: a review of the current statusInternational Journal of Medical Robotics and Computer Assisted Surgery, 2007
- A Prospective Comparison of Robotic and Laparoscopic PyeloplastyAnnals of Surgery, 2006
- Retroperitoneoscopic Pyeloplasty for Ureteropelvic Junction Obstruction (UPJO): Solving the Technical DifficultiesEuropean Urology, 2006
- Retroperitoneal laparoscopic dismembered pyeloplasty: Experience with 50 casesUrology, 2005
- RETROPERITONEAL LAPAROSCOPIC VERSUS OPEN PYELOPLASTY IN CHILDRENJournal of Urology, 2005
- Trends in ureteropelvic junction obstruction management among urologists in the United StatesUrology, 2005
- Acucise Endopyelotomy: Assessment of Long-term DurabilityJournal of Urology, 1996
- Laparoscopic and retroperitoneoscopic repair of ureteropelvic junction obstructionUrology, 1996
- Comparison of open and endourologic approaches to the obstructed ureteropelvic junctionUrology, 1995