Laparoscopic Pyeloplasty: Our New Gold Standard
- 1 March 2009
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 23 (3), 463-467
- https://doi.org/10.1089/end.2008.0208
Abstract
Background and Purpose: Laparoscopic pyeloplasty has developed as a successful minimally invasive alternative to open surgery for management of ureteropelvic junction obstruction (UPJO). Reported medium-term success rates match those of open surgery at more than 90%. We present our complete experience to date with the laparoscopic pyeloplasty procedure. Patients and Methods: A retrospective review of all patients who have undergone laparoscopic pyeloplasty at our institution was performed. Results: Between July 2001 and March 2008, 118 patients underwent laparoscopic pyeloplasty. Mean operative time was 205 minutes, and mean hospital stay was 4.7 days. A crossing vessel was found in 33 patients, and 9 patients needed pyelolithotomy for concomitant stone disease. There were no major complications. Mean follow-up was 12.38 months (range 3–60 mos) with 94.5% free of obstruction on radiologic imaging. Conclusions: Laparoscopic pyeloplasty is a safe and effective management option for UPJO with excellent short- to medium-term results. It is a versatile operation, applicable to most cases of UPJO. Laparoscopic pyeloplasty has now superceded open surgery in our center as the gold standard surgical management for UPJO.Keywords
This publication has 13 references indexed in Scilit:
- Robotically assisted laparoscopic pyeloplasty: a transatlantic comparison of techniques and outcomesBJU International, 2007
- Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: Long-Term Experience With an Algorithm for Laser Endopyelotomy and Laparoscopic Retroperitoneal PyeloplastyJournal of Urology, 2007
- Transmesenteric Laparoscopic PyeloplastyJournal of Urology, 2006
- Laparoscopic pyeloplasty: Evolution of a new gold standardUrology, 2006
- Our Experience with Retroperitoneal and Transperitoneal Laparoscopic Pyeloplasty for Pelvi-Ureteric Junction ObstructionEuropean Urology, 2005
- Safety Profile and Complications of Transperitoneal Laparoscopic Pyeloplasty: A Critical AnalysisJournal of Endourology, 2005
- Minimally invasive surgery for pelviureteral junction obstruction in adults: A critical review of the optionsUrology, 2005
- The long‐term results of Anderson–Hynes pyeloplastyBJU International, 2001
- Comparison of open and endourologic approaches to the obstructed ureteropelvic junctionUrology, 1995
- Laparoscopic Dismembered PyeloplastyJournal of Urology, 1993