Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study
INTRODUCTION: Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in diffi...
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Polish Urological Association
2015
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my.upm.eprints.462052018-03-30T14:00:04Z http://psasir.upm.edu.my/id/eprint/46205/ Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian INTRODUCTION: Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy. MATERIAL AND METHODS: Six patients (4 females and 2 males) with an average age of 44 and a range of 27 to 60 years old, were diagnosed for UPJO. Three were on the left side and 3 on the right side. In addition to UPJO, 2 patients had renal stones, one patient had both renal ptosis and an umbilical hernia, 3 patients had a para-pelvic cyst, hepatomegaly and malrotated kidney, respectively. All patients had a preoperative ultrasound, CT or IVU, and a renal isotope scan. Laparoscopic pyeloplasty was performed according to the dismembered Anderson-Hynes technique with auxiliary maneuver, according to the pathology. RESULTS: All patients were treated successfully for UPJO and the concomitant pathologies, except hepatomegaly and malrotation. Mean operative time was 125 minutes and estimated blood loss was <50 ml. CONCLUSIONS: Laparoscopic pyeloplasty can be performed in difficult situations provided that the surgeon has enough experience with laparoscopy. Polish Urological Association 2015-12 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46205/1/Role%20of%20laparoscopy%20in%20ureteropelvic%20junction%20obstruction%20with%20concomitant%20pathology%20a%20case%20series%20study.pdf Fahmy, Omar and El-Fayoumi, Abdel Rahman and Gakis, Georgios and Amend, Bastian and Mohd Ghani @ Mamat, Khairul Asri and Stenzl, Arnulf and Schwentner, Christian (2015) Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study. Central European Journal of Urology, 68 (4). pp. 466-470. ISSN 2080-4806; ESSN: 2080-4873 10.5173/ceju.2015.627 |
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INTRODUCTION:
Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy.
MATERIAL AND METHODS:
Six patients (4 females and 2 males) with an average age of 44 and a range of 27 to 60 years old, were diagnosed for UPJO. Three were on the left side and 3 on the right side. In addition to UPJO, 2 patients had renal stones, one patient had both renal ptosis and an umbilical hernia, 3 patients had a para-pelvic cyst, hepatomegaly and malrotated kidney, respectively. All patients had a preoperative ultrasound, CT or IVU, and a renal isotope scan. Laparoscopic pyeloplasty was performed according to the dismembered Anderson-Hynes technique with auxiliary maneuver, according to the pathology.
RESULTS:
All patients were treated successfully for UPJO and the concomitant pathologies, except hepatomegaly and malrotation. Mean operative time was 125 minutes and estimated blood loss was <50 ml.
CONCLUSIONS:
Laparoscopic pyeloplasty can be performed in difficult situations provided that the surgeon has enough experience with laparoscopy. |
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Article |
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Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian |
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Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
author_facet |
Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian |
author_sort |
Fahmy, Omar |
title |
Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
title_short |
Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
title_full |
Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
title_fullStr |
Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
title_full_unstemmed |
Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
title_sort |
role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
publisher |
Polish Urological Association |
publishDate |
2015 |
url |
http://psasir.upm.edu.my/id/eprint/46205/1/Role%20of%20laparoscopy%20in%20ureteropelvic%20junction%20obstruction%20with%20concomitant%20pathology%20a%20case%20series%20study.pdf http://psasir.upm.edu.my/id/eprint/46205/ |
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1643833744418668544 |
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13.160551 |