Laparoscopic and retroperitoneoscopic repair of ureteropelvic junction obstruction

Laparoscopic dismembered pyeloplasty: 50 consecutive cases

“…We also consider that an extraperitoneal laparoscopic approach has a greater sensitivity for detecting a crossing vessel, as it allows the surgeon a view of the PUJ from lateral to medial simply by elevating the lower pole of the kidney. We maintain that transperitoneal laparoscopy, such as advocated by Janetschek et al [35] approaches the PUJ from the wrong (vessel) side of the renal hilum, mandating more dissection and the potential for more distortion before the PUJ can be visualized.…”

Treatment options for pelvi‐ureteric junction obstruction: implications for practice and training

“…The mean success rate of the eight series reporting Results the results of 31 laparoscopic pyeloplasties (24 of which were dismembered) is comparable to that of open disThe most striking feature of the series of laparoscopic dismembered pyeloplasty (Table 2) [61][62][63][64][65][66][67] are the membered pyeloplasty, at 97.1% [61][62][63][64][65][66][67][68]. However, the follow-up for these patients is currently too short (mean extremely long operating times (mean 306 min), much 7.9 months) to allow any definitive statement about the Implications for current practice and training eÃcacy of this approach.…”

“…The mean operating time of 185 min in the present author's series [68] of Technique extraperitoneal laparoscopic dismembered pyeloplasty was significantly shorter than that for historical controls A variety of techniques has been used, including those traditionally used in open pyeloplasty, for which long-(P<0.001, two-sample t-test). This was due partly to the adoption of the more direct laparoscopic approach term follow-up results are available, and those which are not [61]. Although the standard urological operative and partly to the use of fibrin glue, on the basis of a comparative study of formaldehyde resin glue, fibrin texts imply that the various techniques available for open pyeloplasty may be used interchangeably in the glue, laser tissue welding and sutures alone.…”

“…However, the follow-up for these patients is currently too short (mean extremely long operating times (mean 306 min), much 7.9 months) to allow any definitive statement about the Implications for current practice and training eÃcacy of this approach. Both intellectually and practically it will always be more appealing to achieve the same surgical result by a Complications method which creates the least trauma of access, as this leads to better post-operative patient comfort and an The complications of pulmonary embolus in two patients [61,67] and stone formation in one patient [62] encounearlier discharge from hospital, as well as a more rapid convalescence and return to work. However, when it tered in these series have been reported after open pyeloplasty [68,69].…”

Cost‐effective laparoscopic pyeloplasty: Single center experience

“…[10][11][12][13][14][15][16][17][18][19][20] We report here our experience of performing LPP by both retroperitoneal and transperitoneal routes in a cost-reductive technique at our center.…”