Laparoscopic Pyeloplasty: Comparison Between Retroperitoneoscopic and Transperitoneal Approach

Abuanz, Sami; Gamé, X.; Roche, Jean-Baptiste; Guillotreau, J.; Mouzin, Marc; Sallusto, Fédérico; Chaabane, Wassim; Malavaud, Bernard; Rischmann, P.

doi:10.1016/j.urology.2009.11.062

Cited by 22 publications

(14 citation statements)

References 28 publications

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“…In spite of this, urologists for adults suggest transperitoneal route during learning curve for laparoscopy because of longer operative time for access to the operative field and suturing (23). They also show the same outcomes for both approaches in experienced surgeons, but in several series a longer operative time is signaled (24)(25)(26).…”

Section: Resultsmentioning

confidence: 99%

Pyeloplasty techniques using minimally invasive surgery (MIS) in pediatric patients

et al. 2017

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Hydronephrosis is the most common presentation of ureteropelvic junction (UPJ) obstruction. We reviewed literature, collecting data from Medline, to evaluate the current status of minimally invasive surgery (MIS) approach to pyeloplasty. Since the first pyeloplasty was described in 1939, several techniques has been applied to correct UPJ obstruction, but Anderson-Hynes dismembered pyeloplasty is established as the gold standard, to date also in MIS technique. According to literature several studies underline the safety and effectiveness of this approach for both trans- and retro-peritoneal routes, with a success rate between 81-100% and an operative time between 90-228 min. These studies have demonstrated the safety and efficacy of this procedure in the management of UPJ obstruction in children. Whether better the transperitoneal, than the retroperitoneal approach is still debated. A long learning curve is needed especially in suturing and knotting.

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Section: Resultsmentioning

confidence: 99%

Pyeloplasty techniques using minimally invasive surgery (MIS) in pediatric patients

et al. 2017

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“…It takes less than 10 min from completion of the placement of the ports to the isolation of the ureteropelvic junction. It also has the advantage of no colonic reflection and a low risk of injury to intraperitoneal organs or later development of intraperitoneal adhesions, and no risk of spillage of infected urine intraperitoneally [8,9] . We routinely remove extraperitoneal fat before opening Gerota's fascia and partially excise perirenal fat of the low kidney pole before isolating the pelvis in order to obtain good exposure.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Different Suture Methods in Laparoscopic Dismembered Pyeloplasty

Shao¹,

Qin²,

Ju³

et al. 2011

Urol Int

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Objective: Anastomosis of ureteropelvic junction with a laparoscope for the treatment of ureteropelvic junction obstruction (UPJO) is a time-consuming and technically challenging procedure. We present our experience of laparoscopic dismembered pyeloplasty and compare clinical outcomes of two different suture techniques. Methods: From September 2003 to June 2010, 105 laparoscopic dismembered pyeloplasties were performed in our department. All procedures were done using the retroperitoneal approach. According to the suture methods (interrupted or running), the patients were divided into two groups. An indwelling stent was placed intraoperatively in an antegrade manner. Data on operation time, blood loss and complications were collected. Results: All procedures were completed without open conversion. Mean operation time and anastomotic time were 96 (55–150) and 36 min (15–70), respectively. A significant decrease of operation and anastomosis time was seen when running sutures were applied. Mean blood loss was 54 ml (30–100). The total complication rate was 7.6%. No anastomotic stricture occurred. The average hospitalization stay was 7 days. During 5–85 months of follow-up, hydronephrosis was alleviated in all cases. Conclusions: Laparoscopic dismembered pyeloplasty for the treatment of UPJO can provide satisfactory clinical outcomes. Higher surgical efficiency and lower complication rates can be obtained by using the running suture method.

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“…In this study, despite the increased risk of damage to intraperitoneal organs and prolonged ileus, we preferred the transperitoneal approach since it provided a larger surgical area. (9). We think that since the retroperitoneal approach provides a narrow working area for the surgeon, it should be performed either by more experienced surgeons or at institutions were learning curve has been completed.…”

Section: Discussionmentioning

confidence: 99%

The Laparoscopic Management of the Ureteropelvic Junction Obstruction: Our Initial Experience

2016

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Laparoscopic Pyeloplasty: Comparison Between Retroperitoneoscopic and Transperitoneal Approach

Cited by 22 publications

References 28 publications

Pyeloplasty techniques using minimally invasive surgery (MIS) in pediatric patients

Pyeloplasty techniques using minimally invasive surgery (MIS) in pediatric patients

Comparison of Two Different Suture Methods in Laparoscopic Dismembered Pyeloplasty

The Laparoscopic Management of the Ureteropelvic Junction Obstruction: Our Initial Experience

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