Document Detail

Laparoscopic pyeloplasty: our new gold standard.
MedLine Citation:
PMID:  19193135     Owner:  NLM     Status:  MEDLINE    
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 followup 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 Laparoscopic pyeloplasty has now superceded open surgery in our center as the gold standard surgical management for UPJO.
Stephanie J Symons; Parag S Bhirud; Vikas Jain; Ajay S Shetty; Mahesh R Desai
Related Documents :
8839085 - Patient controlled analgesia (pca) in paediatric surgery: a prospective study following...
7722825 - Early experience with laparoscopic pyloromyotomy for infantile hypertrophic pyloric ste...
18287985 - Preliminary experience using a computer-mediated flexible circular stapler in laparosco...
19012705 - Laparoscopic proximal tubal division can preserve ovarian reserve for infertility patie...
16034765 - Laparoscopic nephrectomy for renal diseases in children: is there a learning curve?
18090755 - A 12-year experience using the brown two-portal endoscopic procedure of transverse carp...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  23     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-25     Completed Date:  2009-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-7     Citation Subset:  IM    
Department of Urology, Muljibhai Patel Urological Hospital, Gujarat, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Child, Preschool
Middle Aged
Reconstructive Surgical Procedures / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The effect of sodium thiosulfate administration on nephrocalcinosis in a rat model.
Next Document:  Primary endoscopic management versus open revision of ureteroenteric anastomotic strictures after ur...