The laparoscopic management of the ureteropelvic junction obstruction: Our initial experience
Journal Title: Medical Science and Discovery - Year 2016, Vol 3, Issue 5
Abstract
Objective:Higher morbidity rates, extensive scar tissue formation and longer hospitalization periods of the standard open surgical methods for ureteropelvic obstruction has led to acceleration of minimal invasive techniques. Success rate and clinical outcomes of laparoscopic pyeloplasty has become comparable with open surgery.Purpose:The aim was to evaluate the clinical results and complications of transperitoneal laparoscopic pyeloplasty in ureteropelvic obstruction.Material and Methods:Thirty-three patients with ureteropelvic obstruction were enrolled into this study. Eighteen patients underwent Anderson-Hynes dismembered Pyeloplasty and 15 underwent Y-V plasty. Patients were followed-up at postoperative 3., 6. months and then yearly. Partial or total relief of symptoms and improvement in diuretic renogram were accepted as success.Results:Median age was 34.5±15.5(13-74) years, number of males were 13 (39.4%) and females were 20 (60.6%). Median Body Mass Index (BMI) was 25.3±15.4(18.5-33.4). Eight were asymptomatic, and 23 had intermittent pain, preoperatively. Fourteen cases had left ureteropelvic obstruction (42.4%) and 19 had in the right kidney. Intraoperatively 19 cases had aberrant vessel. Mean surgery time was 127.9±38.9 (68-245) minutes, median anastomosis time was 20.8±7.3 (8-39) minutes. Median blood loss was 57.1±28.3 (20-150) mL, median postoperative drainage time was 2.6±1.1 (2-7) days. Only one had prolonged ileus and peritoneal irritation findings. Median narcotic and nonnarcotic requirements were 21.5±4.8 (15-30) and 132.6±37.2 (75-200) mg/day, respectively. Median follow-up period was 35.1±13.6 (11-59) months. Conclusions:Laparoscopic pyeloplasty, is minimally invasive and reliable technique replaces open pyeloplasty in many institutions. Shorter hospitalization, lower postoperative morbidity rates, better cosmetic results and higher success rates can be easily achieved..
Authors and Affiliations
Mustafa Bolat, Abdullah Acikgoz, Ekrem Akdeniz
Keywords
Related Articles
- EP ID EP520506
- DOI 10.17546/msd.23818
- Views 57
- Downloads 0
A phosphate enema-associated chemical colitis
Enemas are widely used in patients with poor colon cleansing in preparation for colonoscopy. Although they are regarded as having minimal side-effects, enemas can give rise to severe side-effects due to the chemical subs...
ELEMENT INTOXICATION BY MARINE FOOD
AbstractIntroduction: Pollution is deformation of natural condition of earth with physical, chemical and biological factors. Environmental pollution suppress life balance and has negative effect on living and ecosystem w...
Does Attending Clinical Wards Increase Nasal Carriage of Staphylococcus Aureus Among Medical Students?
Objectives: The carriage rates of S. aureus among medical students were reported to notably increase after they attended medical wards. We aimed to investigate the nasal colonization rates of S. aureus in medical student...
Effects of sevoflurane and desflurane on the blood and plasma viscosity
The purpose of present study was to compare the effects of desflurane and sevoflurane on blood viscosity in three different shear rates and plasma viscosity. Forty male patients, ASAI-II, undergone tympanoplasty were inc...
Adult nasopharyngeal hairy polyp presenting with middle ear effusion
ABSTRACTInroduction: Hairy polyp is a relatively uncommon congenital mass mainly seen in naso-oropharynx. It has been also called as choristoma owing to its bigerminal composition and unexpected location. It is almost a...