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131247

Laparoscopic Versus Open Pyeloplasty for Management of Secondary Ureteropelvic Junction Obstruction

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Last updated: 03 Jan 2025

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Abstract

Background: Ureteropelvic junction obstruction (UPJO) causes hydronephrosis and progressive renal impairment may ensue if left uncorrected. Open pyeloplasty remains the standard against which new techniques must be compared.
Objective: To evaluate the laparoscopic management of secondary pelvi-ureteric junction obstruction regarding the operative time. Bleeding requiring blood transfusion intraoperative complication, hospital stays short- and long- term complication, and the rate of success in comparison to open repair in literature.
Patients and methods: This study was conducted at the Urology Department of Aswan and Sohag University Hospitals. In the period from April 2016 to April 2020, a total of forty-five patients with secondary PUJ obstruction fulfilling the inclusion criteria were admitted for undergoing laparoscopic pyeloplasty.
Results: The median follow-up period was 24 months (6-36 months). The mean of operative time (LPP) was 154.9± 25.4 minutes, ranged from 80 to 185 minutes, and the mean of blood loss was 77.8±32.8 ml, ranged from 30 to 190 ml. The mean value of hospital stay of our patients was 3.8±1.2 days, ranging from 2 to 7 days, and the mean of follow-up was 5.6±2.15 months, ranged from 3 to 24 months. During the follow up there were three patients who experienced postoperative obstruction, our success rate was 93.3%. Conclusion: Laparoscopic pyeloplasty regarding cost-effectiveness, success rate, complications, and outcome the disadvantages of longer operative time of laparoscopi pyeloplasty, and the long learning curve, is more superior to open pyeloplasty in shorter hospital stay, early convalescence, and low postoperative analgesic requirements.

DOI

10.21608/ejhm.2020.131247

Keywords

Open pyeloplasty, Laparoscopic pyeloplasty, Redo pyeloplasty, UPJO

Authors

First Name

Hassaan A.

Last Name

Gad

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Aswan University, Aswan, Egypt

Email

hassan.ali@aswu.edu.eg

City

-

Orcid

-

First Name

M. Zaki

Last Name

Eldahshoury

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Aswan University, Aswan, Egypt

Email

-

City

-

Orcid

-

First Name

Mohammed M.

Last Name

Hussein

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Aswan University, Aswan, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Hammady

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

-

City

-

Orcid

-

Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-20

Publish Date

2020-10-01

Page Start

2,300

Page End

2,304

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2300-2304.pdf

PDF . 425.8kB

Link

https://ejhm.journals.ekb.eg/article_131247.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=131247

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Laparoscopic Versus Open Pyeloplasty for Management of Secondary Ureteropelvic Junction Obstruction

Details

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Article

Created At

22 Jan 2023