Results of laparoscopic pyeloplasty for ureteropelvic junctional stricture
- VernacularTitle:Хэвлийн дурангаар тэвш-шээлгүүрийн хэсгийн нарийслыг эмчилсэн үр дүн
- Author:
Ganbold G
1
;
Bayan-Undur D
1
;
Nyamsuren D
1
;
Baasanjav N
2
Author Information
1. First Clinical Hospital, Mongolia
2. Ach Medical University
- Publication Type:Journal Article
- Keywords:
Ureteropelvic junction stricture;
ureteropyeloplasty
- From:Mongolian Medical Sciences
2020;194(4):10-16
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:An aim of this study was to evaluate the long-term functional outcomes of laparoscopic
ureteropyeloplasty compared to that of open surgery at the Urology and Andrology Center of the First
Central Hospital of Mongolia. Ureteropelvic junction (UPJ) is the most common site for upper urinary
tract obstruction occurring 1 in 750 - 1500 births. Laparoscopic pyeloplasty was first reported in 1993
by Schuessler WW and its technique was dismembered pyeloplasty.
Material and Methods:In the period from June 2018 to September 2019, we have operated 91 ureteropyeloplasty
cases. Patients were randomized into Group I (45 laparoscopy) operated by the laparoscopic
ureteropyeloplasty and Group II (46 open surgery) operated by the open ureteropyeloplasty. All the
patients had ureteropelvic junction obstruction and ureteropyeloplasty was performed. Both groups
were compared according to the operative time, and recovery duration. We studied restoration of
renal function and causes of conditions. Demographic data including age, gender and complications
were recorded. Renal diethylenetriamine penta-acetate scintigraphy was respectively performed 6
months after surgery.
Results:Mean age was 32±12.05 ranging 16-62 in all the study population. A total of 91 (55 men and 36
women) were participated. Ureteropelvic junction stricture was occurred 75.66% in laparoscopic
cases and 84.78% in open cases which leads to hydronephrosis and it was statistically different
(p<0.028). Compared to that of open surgery, wound size was 6 time smaller, blood loss and hospital
stay less than 2 fold and wound healing is 5 days shorter than open surgery. There was statistical
different (p<0.001) between parameters of 2 groups. In laparoscopic and open group respectively,
renal function was 41.78±10.02ml/min, 42.15±11.34 ml/min (1.73м2). After intervention, renal function
was increased by (46±10.17ml/min, 46.09±11.50ml/min) and there was difference between 2 groups
(p<0.003). In laparoscopic group, renal function was more improved than open group (p=0.05).
Conclusion:Laparoscopic surgery had less blood, less analgesics usage, fewer hospital stays, and faster wound
healing. Renal function was improved 6 months after surgery.
- Full text:2020-194(4)-10-16.pdf
