Document Detail


Laparoscopic pyeloplasty: our new gold standard.
MedLine Citation:
PMID:  19193135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 Laparoscopic pyeloplasty has now superceded open surgery in our center as the gold standard surgical management for UPJO.
Authors:
Stephanie J Symons; Parag S Bhirud; Vikas Jain; Ajay S Shetty; Mahesh R Desai
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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    
Affiliation:
Department of Urology, Muljibhai Patel Urological Hospital, Gujarat, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Female
Humans
Infant
Laparoscopy*
Male
Middle Aged
Reconstructive Surgical Procedures / methods*

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


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