Laparoscopic dismembered pyeloplasty for the treatment of ureteropelvic junction obstruction

VernacularTitle:腹腔镜下手术治疗肾盂输尿管连接部狭窄
Author: Xiao-xin MENG ; Chang-jun YIN ; Qiang LU ; Li-xin HUA ; Zeng-jun WANG ; Min GU ; Peng-fei SHAO ; Wei ZHANG ; Zheng-quan XU ; Yuan-geng SUI
Publication Type:Journal Article
Keywords: Laparoscopes; Ureteropelvic junction obstruction
From: Chinese Journal of Urology 2010;31(6):373-375
CountryChina
Language:Chinese
Abstract: Objective To discuss the treatment of ureteropelvic junction obstruction by laparoscopic pyeloplasty. Methods A retrospective review of consecutive laparoscopic pyeloplasty in 102 patients between September 2001 and December 2007 was performed. The ureterpelvic junction was dissected and the obstruction portion was excised. Anastomosis was then performed through the ureter and the renal pelvis walls with a stent. Results The mean operating time was 120 min and the average blood loss was 80ml. No major complication occurred intraoperative. The drainage was removed in 3-10 days. The average hospital stay was 8.5 days. The stent was kept for 30-60 days. IVU and B ultrasound examination revealed that the hydronephrosis alleviated during the follow-up and no anastomosis stricture occurred. Conclusions Laparoscopic dismembered pyeloplasty could provide lower morbidity, shorter hospital stay, and faster convalescence. It could be an effective treatment for ureteropelvic junction obstruction.