Retroperitoneoscopic Pyeloplasty for Ureteropelvic Junction Obstruction
- 1 December 2004
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 18 (10), 948-951
- https://doi.org/10.1089/end.2004.18.948
Abstract
Background and Purpose: Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. Patients and Methods: In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 left). Four patients had previously had an endopyelotomy. The operation was performed using standard retroperitoneoscopic technique with the patient in a flank position. After preparation of the ureter and renal pelvis, the UPJ was resected in 22 patients in an Anderson-Hynes pyeloplasty. Twenty of these patients had a crossing vessel. The other two patients, who had small renal pelves, were operated on with a Fenger pyeloplasty. In all patients a 7F double-J stent was placed. Results: The mean operative time was 189 minutes (range 70–360 minutes), and the average blood loss was 110 mL (range 50–400 mL). There were no intraoperative complications, although one patient with adhesions and scarring after previous endopyelotomy had to be converted to open surgery. The transurethral catheter was left for 7 days in the first 10 cases and for 4 days in the 14 subsequent patients. The hospitalization time was 9.7 and 7.5 days, respectively. The only postoperative complication was a urinoma, which was punctured. The double-J catheter was removed after an average of 4.6 weeks (range 4–8 weeks). Intravenous urography 6 weeks later showed no obstruction. The mean follow-up time was 11.5 months (range 1–24 months) with no signs of obstruction on ultrasonography. Conclusions: Retroperitoneoscopic pyeloplasty for UPJ obstruction is a safe and effective procedure. Our short-term results are similar to those of open pyeloplasty with the advantage of a minimally invasive approach.Keywords
This publication has 22 references indexed in Scilit:
- Extraperitoneal laparoscopic repair of ureteropelvic junction obstruction: initial experience in 15 casesUrology, 2000
- LAPAROSCOPIC VERSUS OPEN PYELOPLASTY: ASSESSMENT OF OBJECTIVE AND SUBJECTIVE OUTCOMEJournal of Urology, 1999
- 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
- Laparoscopic PyeloplastyJournal of Urology, 1993
- Laparoscopic Dismembered PyeloplastyJournal of Urology, 1993
- Results of 212 Consecutive Endopyelotomies: An 8-‘Year FollowupJournal of Urology, 1993
- Laparoscopic Operative Retroperitoneoscopy: Use of a New DeviceJournal of Urology, 1992
- Endopyelotomy: Comparison of Ureteroscopic Retrograde and Antegrade Percutaneous TechniquesJournal of Urology, 1992