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%.<sup>12 Nguyen D.H., Aliabadi H., Ercole C.J. , e al. Non-intubated Anderson-Hynes repair of ureteropelvic junction obstruction in 60 patients J Urol 1989 ;  142 : 704

Cliccare qui per andare alla sezione Riferimenti, 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]

Cliccare qui per andare alla sezione Riferimenti, 14 Persky L., Krause J.R., Boltuch R.L. Initial complications and late results in dismembered pyeloplasty J Urol 1977 ;  118 : 162

Cliccare qui per andare alla sezione Riferimenti</sup> 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.<sup>2 Brooks J.D., Kavoussi L.R., Preminger G.M. , e al. Comparison of open and endourologic approaches to the obstructed ureteropelvic junction Urology 1995 ;  46 : 791  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ;  148 : 775

Cliccare qui per andare alla sezione Riferimenti, 8 Moore R.G., Averch T.D., Adams J.B. , e al. Laparoscopic pyeloplasty: Experience with the initial 30 cases J Urol 1997 ;  157 : 459  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 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

Cliccare qui per andare alla sezione Riferimenti</sup> Percutaneous antegrade and endoscopic retrograde approaches are relatively effective and are associated with short hospital stays and rapid recovery.<sup>2 Brooks J.D., Kavoussi L.R., Preminger G.M. , e al. Comparison of open and endourologic approaches to the obstructed ureteropelvic junction Urology 1995 ;  46 : 791  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 3 Faerber G.J., Richardson T.D., Farah N. , e al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ;  157 : 454  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , e al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ;  153 : 701  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> However, these techniques have a 10% to 25% lower success rate in comparison with open pyeloplasty<sup>3 Faerber G.J., Richardson T.D., Farah N. , e al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ;  157 : 454  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , e al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ;  153 : 701  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ;  148 : 775

Cliccare qui per andare alla sezione Riferimenti, 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

Cliccare qui per andare alla sezione Riferimenti, 17 Preminger G.M., Clayman R.V., Nakada S.Y. , e 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]

Cliccare qui per andare alla sezione Riferimenti, 21 Van Cangh P.J., Wilmart J.F., Opsomer R.J. , e al. Long-term results and late recurrence after endoureteropyeloplasty: A critical analysis of prognostic factors J Urol 1994 ;  151 : 934

Cliccare qui per andare alla sezione Riferimenti</sup> and are associated with a significant risk of perioperative hemorrhage.<sup>3 Faerber G.J., Richardson T.D., Farah N. , e al. Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter J Urol 1997 ;  157 : 454  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 5 Kletscher B.A., Segura J.W., LeRoy A.J. , e al. Percutaneous antegrade endoscopic pyelotomy: Review of 50 consecutive cases J Urol 1995 ;  153 : 701  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 6 Meretyk I., Meretyk S., Clayman R.V. Endopyelotomy: Comparison of ureteroscopic retrograde and antegrade percutaneous techniques J Urol 1992 ;  148 : 775

Cliccare qui per andare alla sezione Riferimenti, 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

Cliccare qui per andare alla sezione Riferimenti, 17 Preminger G.M., Clayman R.V., Nakada S.Y. , e 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]

Cliccare qui per andare alla sezione Riferimenti</sup>

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.