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Laparoscopic transperitoneal dismembered pyeloplasty for ureteropelvic junction obstruction

Lookup NU author(s): Dhakshina Vijayanand, David Rix, Professor Naeem Soomro

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Abstract

Purpose: To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. Patients and Methods: From April 2001 to April 2005, 36 men and 34 women underwent LDP for symptomatic and radiologically proved ureteropelvic junction (UPJ) obstruction. A successful outcome was defined clinically by improvement in symptoms and objectively by improvement in the diuretic renography study performed at 3 and 12 months after reconstruction. Results: The mean operative time was 160.5 +/- 45 minutes with a mean blood loss of 77.8 +/- 52.8 mL. There were no conversions to open surgery. Lower-pole vessels were observed in 38 patients (54.3%). In all cases, the ureter was transposed anteriorly. The mean hospital stay was 3.3 +/- 2.1 days. Postoperative complications were recorded in 4 patients (5.7%). One patient developed an anastomotic stricture. A successful outcome was achieved in 68 of the 70 patients (97.1%) at a mean follow-up of 27.6 +/- 13.2 months. Conclusion: Our results further strengthen the evidence that LDP has a reliable medium-term outcome with the added benefit of being minimally invasive.

Publication metadata

Author(s): Vijayanand DM, Rix DA, Soomro NA, Hasan T

Publication type: Article

Publication status: Published

Journal: Journal of Endourology

Year: 2006

Volume: 20

Issue: 12

Pages: 1050-1053

ISSN (print): 0892-7790

ISSN (electronic): 1557-900X

URL: http://dx.doi.org/10.1089/end.2006.20.1050

DOI: 10.1089/end.2006.20.1050

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