Comparison Of Laparoscopic Pyeloplasty Two ApproachesRetrocolic / Transmesocolic Our Institute Experience, 5 Years Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
AIM: We compared possible outcomes, pros and cons of laparoscopic retrocolic / Transmesocolic pyeloplasty in 32 patients. MATERIALS AND METHODS: Between 2011 and 2016, we analysed all the particulars /datas - presentation age, renal pelvis size, lower pole vessels, with or without stones. Selection of cases , left side- transmesocolic and Both sides retrocolic LP was done. Total number of cases 32. Approaches -Transmesocolic 12 and retrocolic 20. Follow up period - 24months. Outcome analysed were, symptom free, anatomical Reduction, physiological drainage, advantages of procedures. RESULTS: Average Age group was 12 years for transmesocolic LP, 18years for Retrocolic LP. Operative time 140 mins. Transmesocolic approach 30 mins less than retrocolic LP. CONCLUSION: Retrocolic approach is standard for right side. Transmesocolic or retrocolic approach is for left side. Both gives good and similar results.
Authors and Affiliations
S. Rajasekar, P. V. Thiruvarul, R. Rajkumar, P. Senthil kumar
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