A modification with threading cannula needle-assisted 4-point suspension fixation for retroperitoneal laparoscopic pyeloplasty in children with ureteropelvic junction obstruction: a cohort study in single center

Li, Ke; Hu, Cheng; Huang, Wentao; Song, Jie; Li, Lu; Mao, Yunfei; Zhang, Huimin; Qiu, Jianguang; Wang, Dejuan

doi:10.1007/s11255-018-2048-x

Cited by 4 publications

(3 citation statements)

References 19 publications

(18 reference statements)

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“…We think that it is useful to place a suspension suture for traction and to prevent the distal part of the ureter from getting lost among the tissues after the ureter is cut. Some studies support this idea [ 4 ]. It is known that laparoscopic surgery causes more physical and mental fatigue than open surgery.…”

Section: Discussionmentioning

confidence: 93%

Analysis of Various Laparoscopic Pediatric Urology Surgeries: Five-Year Experience of a Single Institution

Yener,

Ilce

2024

Cureus

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Background In this study, we aim to report our single-center experience with laparoscopic pediatric urological surgeries. We aim to determine the feasibility of various urological and urogenital laparoscopic procedures and the tricks that increase surgical success. Methodology Data from 98 patients who underwent laparoscopic urological and/or urogenital procedures for diagnostic and therapeutic purposes in our clinic between June 2018 and February 2023 were retrospectively analyzed. All surgeries were performed by the same surgical team. Laparoscopic procedures included orchidopexy, gonadectomy, vaginoplasty, hysterectomy, pyeloplasty, nephrectomy/partial nephrectomy, ureteroneocystostomy, bladder diverticulum excision, renal cyst excision, proximal ureter stone removal, oophorectomy, ovarian detorsion, oophoropexy, and lymph node excision for diagnostic purposes. The surgical planning of the patients was based on the decisions of the pediatric nephrology, pediatric endocrinology, and pediatric oncology departments and the multidisciplinary council. Demographic characteristics of the patients, surgical indications, and intraoperative data, as well as postoperative pathological diagnoses and complications, were recorded. All patients underwent a transperitoneal approach. The duration of the operation was obtained from anesthesia records and defined as the time from the beginning of the surgical incision to the closure of the skin incision. Results Of the patients, 54 were males and 44 were females. The median age was 7.8 years. No complications other than grade 1 according to the Clavien-Dindo classification were observed in our patients. As different types of surgeries were analyzed, the mean operative duration was estimated. Conclusions The laparoscopic method should be performed by surgeons experienced in advanced surgeries in pediatric urology. It is critical to consider the difference in the size of pediatric patients in preparation for laparoscopic surgery to minimize technical and ergonomic problems. We believe that each surgery has its specific tricks and that these should be a part of laparoscopy training. Moreover, developing and sharing this information would be very useful for pediatric urologists.

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Section: Discussionmentioning

confidence: 93%

Analysis of Various Laparoscopic Pediatric Urology Surgeries: Five-Year Experience of a Single Institution

Yener,

Ilce

2024

Cureus

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“…Complications related to laparoscopy and open surgery occurred in 17 (34 %) of patients like thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, SSI, hyperglycemia, bleeding and PONV were reported. The advantages of laparoscopy in reducing the postoperative pain, a shorter hospital stay, earlier return to normal activities, and improved cosmetic compared with the open approach are well documented [15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Nephrectomy indications in kidney diseases: 10-years’ experience study

Albadran,

Mezban,

Alfadli

et al. 2023

KIDNEYS

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Background. Nephrectomy, a performance surgery in urology practice, may lead to an irreversibly kidney injuries during surgical removal. This study aims to describe 10-years of experience with nephrectomy, its indications and complications in kidney diseases. Materials and methods. Data for all the patients who underwent nephrectomy were collected including demographics, age, sex, education, smoking, alcohol consumption, aetiology, past medical and surgical history and comorbidity. Indications for nephrectomy were stones, obstruction, tumors, pyelonephritis and autosomal dominant polycystic kidney disease. Among complications, thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, surgical site infection, hyperglycemia, bleeding and postoperative nausea and vomiting were recorded. Preoperative preparation included laboratory tests such as complete blood count, renal function test and liver function test. It is reasonable to perform renoscintography before nephrectomy to consider partial nephrectomy. However, in our study we performed it routinely because nearly all patients underwent ultrasonography or/and computed tomography scan of abdomen/pelvis to detect pathologies. A percutaneous polyurethane catheters or stents were placed. A guidewire was inserted into the kidney via the rigid cystoscope. Results. A total of 50 nephrectomies were performed. The median age of patients was 45 years ranging from 14 to 73 years. About 60 % of the patients were females and 40 % were males. Patients were educated (48 %), smoking (56 %), alcoholic (12 %), with past medical and surgical history (50 %), comorbidities (46 %) and lived in rural region (44 %) and urban areas (56 %). Stones and obstruction accounted for the majority of cases, 52 and 36 %, respectively. Most of the nephrectomies were performed with laparoscopic approach (58 %). Open surgery was done in 15 cases (30 %) because of adhesions and emphysema. Complications related to laparoscopy and open surgery occurred in 17 (34 %) of patients. Thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, surgical site infection, hyperglycemia, bleeding and postoperative nausea and vomiting were recorded. Conclusions. Stone disease and obstruction were the most common benign conditions requiring nephrectomy. The laparoscopic approach can be feasible for most benign kidney diseases requiring nephrectomies with adequate expertise. Сomplication rate in it is comparable with that of open surgery.

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“…1 First, the intestine was rolled and suspended with a hanging and fastening method, 7 and thorough dissection of the mesenteric fascia was performed to avoid injuring the blood vessels and intestine ( Fig. 2a,b).…”

Section: Case Presentationmentioning

confidence: 99%

Laparoscopic transmesenteric pyeloplasty and isthmusectomy for adult horseshoe kidney with recurrent symptomatic hydronephrosis

Wei

et al. 2020

IJU Case Reports

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Introduction There is no consensus for the horseshoe kidneys with recurrent symptomatic hydronephrosis, so we presented our initial experience with a laparoscopic transmesenteric approach. Case presentation Five patients with symptomatic ureteropelvic junction obstruction were identified by computed tomography urography. The laparoscopic transmesenteric approach was performed in such a way that the mesentery of the small intestine was incised along with the blood vessels longitudinally, and the isthmus was isolated to avoid injury to the mesenteric blood supply; then we cut the isthmus using an endostapler. The ureteropelvic junction obstruction was removed via the Anderson‐Hynes technique. The operation time was 135–204 min, and the estimated blood loss was 50–120 mL. Patients had a 5.7‐day stay postoperatively, there were no other injuries or complications, and ultrasound scans or computed tomography urography showed good postoperative effects. Conclusion Laparoscopic transmesenteric surgery is a feasible and safe procedure for selected cases with horseshoe kidney with recurrent symptomatic hydronephrosis.

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A modification with threading cannula needle-assisted 4-point suspension fixation for retroperitoneal laparoscopic pyeloplasty in children with ureteropelvic junction obstruction: a cohort study in single center

Cited by 4 publications

References 19 publications

Analysis of Various Laparoscopic Pediatric Urology Surgeries: Five-Year Experience of a Single Institution

Analysis of Various Laparoscopic Pediatric Urology Surgeries: Five-Year Experience of a Single Institution

Nephrectomy indications in kidney diseases: 10-years’ experience study

Laparoscopic transmesenteric pyeloplasty and isthmusectomy for adult horseshoe kidney with recurrent symptomatic hydronephrosis

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