Complications of laparoscopic pyeloplasty

Rassweiler, Jens; Teber, Doğu; Frede, Thomas

doi:10.1007/s00345-008-0266-z

Cited by 104 publications

(75 citation statements)

References 30 publications

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“…In our cases, re-stenosis was operated by open surgery because they occurred at the beginning of the surgeon's learning curve. Intraoperative complications are rare during laparoscopic pyeloplasty as well as postoperative complications, with rates ranging from 2% to 15% (18,20,21). Complications in this series were limited, totaling 10.9%, which were a urinary fistula that lasted 11 days in one patient, three other patients who had operative wound infection and two cases of re-stenosis.…”

Section: Commentsmentioning

confidence: 68%

“…When evaluating the results based on the used ways, both the transperitoneal and retroperitoneal approaches offer similar success rates, with similar rates of complications (12)(13)(14)(15)(16)(17)(18), varying the choice according to surgeon's preference and experience.…”

Section: Commentsmentioning

confidence: 99%

“…In the literature several series of video-laparoscopic pyeloplasty are described where there is evidence that the time varied from 77 to 312 min with progressive reduction in the postoperative period as it increases the number of cases, due to the learning curve (18). There was also a decrease in blood loss with the progression of the learning curve and therefore it was not necessary to perform blood transfusion in any patient.…”

Section: Commentsmentioning

confidence: 99%

“…Reports of re-stenosis in the literature ranged from 3.5 to 4.8% of the cases with the use of Anderson-Hynes technique (18). We must consider that in open surgery the rates are similar and Fenger technique, itself, has higher rates of re-stenosis (2).…”

Section: Commentsmentioning

confidence: 99%

“…However, its morbidity is high especially related to chronic pain, risk of incisional hernia and later return to 'daily activities' (6). The success rates of laparoscopic pyeloplasty were comparable to those of open surgery with long-term rates as high as 98% (12)(13)(14)(15)(16)(17)(18).…”

Section: Commentsmentioning

confidence: 99%

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Transperitoneal laparoscopic pyeloplasty: Brazilian initial experience with 55 cases

et al. 2010

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Purpose: To evaluate prospectively the results obtained in 55 patients undergoing laparoscopic pyeloplasty through transperitoneal access. Materials and Methods: From January 2005 to July 2009, fifty-five patients between 13 and 64 years old, were treated for ureteropelvic junction (UPJ) stenosis via a transperitoneal laparoscopy. All patients had clinical symptoms of high urinary obstruction and hydronephrosis confirmed by imaging methods. Anderson-Hynes dismembered pyeloplasty was performed in 51 patients and Fenger technique in the other 4 cases. Patients were clinically and imaging evaluated in the postoperative period at 3 and 6 months and then followed-up annually. Results: The operative time ranged from 95 to 270 min. The mean hospital stay was 2 days. The average blood loss was 170 mL. The time to return to normal activities ranged from 10 to 28 days. Anomalous vessels were identified in 27 patients, intrinsic stenosis in 23 patients and 5 patients had high implantation of the ureter. Laparoscopic pyelolithotomy was successfully performed in 6 patients with associated renal stones. That series monitoring ranged from 1 to 55 months. One patient had longer urinary fistula (11 days), 3 patients had portal infection and 6 patients had prolonged ileus. There was one conversion due to technical difficulties. From the later postoperative complications, 2 patients had re-stenosis, one determined by Anderson-Hynes technique and the other by Fenger technique. The success rate was 95.65%. Conclusions: Laparoscopic pyeloplasty has functional results comparable to conventional open technique. It offers less morbidity, with aesthetic and post-operative convalescence benefits and lower complication rates.

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Section: Commentsmentioning

confidence: 68%