Title: Technique and approach of laparoscopic pyeloplasty for complex ureteropelvic junction obstruction
Abstract: 【Objective】To evaluate the technique and approach of laparoscopic Anderson-Hynes pyeloplasty for complex ureteropelvic junction obstruction(UPJO).【Methods】The technique and approach of laparoscopic Ander-son-Hynes pyeloplasty for 48 cases with complex ureteropelvic junction obstruction were analyzed retrospectively.22 cases underwent laparoscopic Anderson-Hynes pyeloplasty via abdominal cavity approach.Of the 22 cases,3 cases got UPJO after transureteroscopic incision,12 cases after open pelvis or ureter lithotomy,and 7 cases were of obesity.26 cases underwent laparoscopic Anderson-Hynes pyeloplasty via retroperitoneal cavity approach.Of the 26 cases,there were 5 cases of vascular compression,4 cases of fiber cord compression,and 17 cases who had UPJO after transureteroscopic incision.Singleor dual-double J tubes were placed in all the patients after operation,and were replaced in 1~3 months.【Results】The operation was successful in all the cases.42 cases were cured at a single stage and double J tubes were replaced 1~3 times.6 cases were cured by transureteroscopic expansion or incision and double J tubes were replaced in 3~6 times.During the follow up of 6 to 18 months(mean 12 months),there was no ureteric stricture.【Conclusions】Minimally invasive treatment for complex ureteropelvic junction obstruction is a pretty good choice by appropriate approach of laparoscopic pyeloplasty,regular replacement of indwelling double J tubes after operation.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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