LAPAROSCOPIC PYELOPLASTY : Indications, Technique, and Long-Term Outcome - 08/09/11

Doi : 10.1016/S0094-0143(05)70021-5

Roland N. Chen, MD ^{^{*
James Buchanan Brady Urological Institute, Johns Hopkins Bayview Medical Center, Baltimore, Maryland}}, Robert G. Moore, MD ^{^{*
James Buchanan Brady Urological Institute, Johns Hopkins Bayview Medical Center, Baltimore, Maryland}}, Louis R. Kavoussi, MD ^{^{*
James Buchanan Brady Urological Institute, Johns Hopkins Bayview Medical Center, Baltimore, Maryland}}

Resumen

Open pyeloplasty remains the gold standardfor the correction of ureteropelvic junction (UPJ) obstruction in both the pediatric and adult age groups. Success rates following open pyeloplasty in contemporary series exceed 90%.^{12 Nguyen D.H., Aliabadi H., Ercole C.J. , y al. Non-intubated Anderson-Hynes repair of ureteropelvic junction obstruction in 60 patients J Urol 1989 ; 142 : 704

Haga clic aquí para ir a la sección de Referencias, 13 Notley R.G., Beaugie J.M. The long-term follow-up of Anderson-Hynes pyeloplasty for hydronephrosis Br J Urol 1973 ; 45 : 464 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 14 Persky L., Krause J.R., Boltuch R.L. Initial complications and late results in dismembered pyeloplasty J Urol 1977 ; 118 : 162

Haga clic aquí para ir a la sección de Referencias} However, because of the postoperative morbidity associated with open surgery, including pain and prolonged convalescence from a flank incision, several minimally invasive techniques to repair the obstructed UPJ have been developed.^{2 Brooks J.D., Kavoussi L.R., Preminger G.M. , y al. Comparison of open and endourologic approaches to the obstructed ureteropelvic junction Urology 1995 ; 46 : 791 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ; 148 : 775

Haga clic aquí para ir a la sección de Referencias, 8 Moore R.G., Averch T.D., Adams J.B. , y al. Laparoscopic pyeloplasty: Experience with the initial 30 cases J Urol 1997 ; 157 : 459 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 9 Motola J.A., Badlani G.H., Smith A.D. Results of 212 consecutive endopyelotomies: An 8-year follow-up J Urol 1993 ; 149 : 453

Haga clic aquí para ir a la sección de Referencias} Percutaneous antegrade and endoscopic retrograde approaches are relatively effective and are associated with short hospital stays and rapid recovery.^{2 Brooks J.D., Kavoussi L.R., Preminger G.M. , y al. Comparison of open and endourologic approaches to the obstructed ureteropelvic junction Urology 1995 ; 46 : 791 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 3 Faerber G.J., Richardson T.D., Farah N. , y al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ; 157 : 454 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , y al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ; 153 : 701 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} However, these techniques have a 10% to 25% lower success rate in comparison with open pyeloplasty^{3 Faerber G.J., Richardson T.D., Farah N. , y al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ; 157 : 454 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , y al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ; 153 : 701 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ; 148 : 775

Haga clic aquí para ir a la sección de Referencias, 9 Motola J.A., Badlani G.H., Smith A.D. Results of 212 consecutive endopyelotomies: An 8-year follow-up J Urol 1993 ; 149 : 453

Haga clic aquí para ir a la sección de Referencias, 17 Preminger G.M., Clayman R.V., Nakada S.Y. , y al. A multicenter clinical trial investigating the use of a fluoroscopically controlled cutting balloon catheter for the management of ureteral and ureteropelvic junction obstruction J Urol 1997 ; 157 : 1625 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 21 Van Cangh P.J., Wilmart J.F., Opsomer R.J. , y al. Long-term results and late recurrence after endoureteropyeloplasty: A critical analysis of prognostic factors J Urol 1994 ; 151 : 934

Haga clic aquí para ir a la sección de Referencias} and are associated with a significant risk of perioperative hemorrhage.^{3 Faerber G.J., Richardson T.D., Farah N. , y al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ; 157 : 454 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , y al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ; 153 : 701 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ; 148 : 775

Haga clic aquí para ir a la sección de Referencias, 9 Motola J.A., Badlani G.H., Smith A.D. Results of 212 consecutive endopyelotomies: An 8-year follow-up J Urol 1993 ; 149 : 453

Haga clic aquí para ir a la sección de Referencias, 17 Preminger G.M., Clayman R.V., Nakada S.Y. , y al. A multicenter clinical trial investigating the use of a fluoroscopically controlled cutting balloon catheter for the management of ureteral and ureteropelvic junction obstruction J Urol 1997 ; 157 : 1625 [cross-ref]

Haga clic aquí para ir a la sección de Referencias}

Laparoscopic pyeloplasty was developed in an attempt to duplicate the high success rates achieved with open pyeloplasty while offering the advantages of minimally invasive techniques. As is true in open surgery, the repair is performed under direct magnified vision. In contrast to open surgery, however, the laparoscopic technique is minimally invasive and is performed through three ports. This article describes the indications for laparoscopic pyeloplasty and the operative technique and summarizes the authors' experience in 57 patients. The long-term clinical and radiographic results in 34 patients presented with a minimum 1 year of clinical follow-up.

El texto completo de este artículo está disponible en PDF.

Esquema

Address reprint requests toLouis R. Kavoussi, MD, Brady Urological Institute, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224

Exportación

Vol 25 - N° 2

P. 323-330 - mai 1998 Regresar al número

Artículo precedente

URETEROPELVIC JUNCTION OBSTRUCTION AND RENAL CALCULI : Pathophysiology and Implications for Management
Scott D. Rutchik, Martin I. Resnick

| Artículo siguiente

URETEROPELVIC JUNCTION OBSTRUCTION : Open Operative Intervention
Stevan B. Streem

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.

¿Ya suscrito a @@106933@@ revista ?

conectar o crear una cuenta

LAPAROSCOPIC PYELOPLASTY : Indications, Technique, and Long-Term Outcome - 08/09/11

Resumen

Esquema

Exportación citas

Fichero

Contenido

Mi cuenta

Aide & support

Declaración CNIL