Transperitoneal versus retroperitoneal approaches of pyeloplasty in management of ureteropelvic junction obstruction: A meta-analysis

Song, Peng; Shu, Mengxuan; Peng, Zhou; Yang, Lei; Zhou, Meifang; Wang, Zirui; Ni, Lu; Pei, Caixia; Dong, Qiang

doi:10.1016/j.asjsur.2021.03.022

Cited by 3 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The extraperitoneal approach is more difficult due to the large angle of the endoscope. The abdominal approach has obvious advantages when investigating the collecting system, as the endoscope placed through the trocar is facing the renal pelvis (9).…”

Section: Discussionmentioning

confidence: 99%

Transabdominal laparoscopy and ureteroscopy one‑stage surgery in the treatment of bilateral ureteropelvic junction obstruction combined with bilateral renal stones: A case report

Chen

Ren

et al. 2022

Exp Ther Med

View full text Add to dashboard Cite

Ureteropelvic junction obstruction (UPJO) is a common congenital malformation of the urinary system, which is mostly unilateral and frequently combined with hydronephrosis and kidney stones. The incidence of kidney stones is ~20%, which markedly increases the difficulty and risk of surgery. The present report describes a rare case of bilateral UPJO combined with bilateral renal stones. Laparoscopy and ureteroscopy one-stage surgery was performed creatively. CT urography demonstrated that the hydronephrosis was markedly reduced after the surgery, the ureteropelvic junction was patent without stone residue and the surgical outcome was ideal.

show abstract

Section: Discussionmentioning

confidence: 99%

Transabdominal laparoscopy and ureteroscopy one‑stage surgery in the treatment of bilateral ureteropelvic junction obstruction combined with bilateral renal stones: A case report

Chen

Ren

et al. 2022

Exp Ther Med

View full text Add to dashboard Cite

show abstract

Comparative efficacy and safety of different minimal invasive pyeloplasty in treating patients with ureteropelvic junction obstruction: a network meta-analysis

Jin

et al. 2023

World J Urol

View full text Add to dashboard Cite

Comparative study of different surgical approaches for treatment of UPJ obstruction according to the degree/severity of hydronephrosis factor

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo compare the efficacy of two different surgical approaches during and after pyeloplasty according to the degree/severity of hydronephrosis factor.Materials and methodsSixty child patients with UPJ obstruction admitted to our hospital from August 2019 to October 2021 were collected. Patients who underwent retroperitoneal laparoscopic pyeloplasty (RPLP) were enrolled into Group A (n = 20), while those who received transperitoneal laparoscopic pyeloplasty (TLP) were selected as Group B (n = 40). Clinical parameters, including gender, age, laterality of UPJ obstruction, degree/severity of hydronephrosis, body weight, operation time, drainage tube indwelling time, complete oral feeding time, and length of hospital stay, were compared between the two groups.ResultsAll 60 child patients were operated upon successfully without conversion to open surgery. There were no statistically significant differences in gender, age, laterality of UPJ obstruction, and body weight between the two groups, while the operation time of TLP was shorter than that of RPLP, indicating a statistically significant difference (P < 0.001). The differences in complete oral feeding time, drainage tube indwelling time, and length of hospital stay were statistically significant between the two groups, and RPLP was superior to TLP in terms of postoperative recovery time (P < 0.001). A stratified comparison showed that there were no statistically significant differences in anteroposterior diameter ≤ 20 mm, while there were statistically significant differences in anteroposterior diameter >20 mm. Hydronephrosis is reviewed after 3 months of the operation, degree/severity of hydronephrosis have been reduced.ConclusionBoth RPLP and TLP are safe and feasible in the treatment of UPJ obstruction, and their overall surgical effects are equivalent. For child patients with anteroposterior diameter ≤ 20 mm, RPLP is available, while patients with anteroposterior diameter >20 mm, TLP is recommended.

show abstract

Transperitoneal versus retroperitoneal approaches of pyeloplasty in management of ureteropelvic junction obstruction: A meta-analysis

Cited by 3 publications

References 29 publications

Transabdominal laparoscopy and ureteroscopy one‑stage surgery in the treatment of bilateral ureteropelvic junction obstruction combined with bilateral renal stones: A case report

Transabdominal laparoscopy and ureteroscopy one‑stage surgery in the treatment of bilateral ureteropelvic junction obstruction combined with bilateral renal stones: A case report

Comparative efficacy and safety of different minimal invasive pyeloplasty in treating patients with ureteropelvic junction obstruction: a network meta-analysis

Comparative study of different surgical approaches for treatment of UPJ obstruction according to the degree/severity of hydronephrosis factor

Contact Info

Product

Resources

About