Comparison of the outcomes of laparoscopic pyeloplasty with and without concomitant pyelolithotomy.
Adolescent
Adult
Child
Female
Humans
Hydronephrosis
/ surgery
Kidney Pelvis
/ surgery
Laparoscopy
/ methods
Length of Stay
Male
Middle Aged
Nephrolithiasis
/ pathology
Nephrotomy
/ methods
Operative Time
Reproducibility of Results
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome
Ureteral Obstruction
/ surgery
Urologic Surgical Procedures
/ methods
Young Adult
Cakut [Supplementary Concept]
Laparoscopy
Pyeloform [Supplementary Concept]
Journal
International braz j urol : official journal of the Brazilian Society of Urology
ISSN: 1677-6119
Titre abrégé: Int Braz J Urol
Pays: Brazil
ID NLM: 101158091
Informations de publication
Date de publication:
Historique:
received:
25
12
2018
accepted:
06
05
2019
entrez:
19
10
2019
pubmed:
19
10
2019
medline:
2
11
2019
Statut:
ppublish
Résumé
We aimed to evaluate the results of laparoscopic pyeloplasty with concomitant pyelolithotomy and compare results with a cohort of patients undergoing laparoscopic pyeloplasty without pyelolithotomy. We retrospectively reviewed records of 43 patients undergoing transperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty between December 2012 and July 2018 at our department. Eighteen patients (42%) underwent laparoscopic pyeloplasty with concomitant pyelolithotomy. The results of patients with renal stones were compared with 25 matched patients undergoing laparoscopic pyeloplasty without concomitant renal stones. Demographic data, operative and stone parameters were compared between the groups. The groups were similar regarding to demographic characteristics. All operations were completed laparoscopically with no conversions to open surgery. In 3 cases without renal stones and 15 cases with renal stones, transposition of the ureter due to crossing vessels was performed. The mean stone size was 13±5.24 mm, and the median number of stones was 1 (1-18). The success of laparoscopic pyeloplasty with and without pyelolithotomy was 93.3% and 92.9%, respectively, as confirmed by negative diuretic renogram at postoperative 3rd months. Overall stone-free rate after laparoscopic pyelolithotomy was 93.3%. Mean operative time was 222.6765.71 minutes vs. 219.11±75.63 minutes for the pyeloplasty with concomitant pyelolithotomy vs. pyeloplasty, respectively (p=0.88). Laparoscopic pyeloplasty with concomitant pyelolithotomy is a safe and effective intervention with associated good cosmetic results and high stone-free rates without significant increase in operative time or complications.
Identifiants
pubmed: 31626519
doi: 10.1590/S1677-5538.IBJU.2018.0781
pii: IBJU20180781
pmc: PMC6844342
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
965-973Informations de copyright
Copyright® by the International Brazilian Journal of Urology.
Déclaration de conflit d'intérêts
None declared.
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