Archivos espanoles de urologia · 2002
[Laparoscopic pyeloplasty].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Valdivia Uría José Gabriel, Sánchez Elipe Miguel Angel, Sánchez Zalabardo Manuel
Аннотация
OBJECTIVES: To review indications, results and endourologic alternatives to the pyeloplasty technique.
METHODS: We describe the surgical technique proposed by Schluesser et al., which was applied to 9 patients in our series. Another 4 patients underwent a simple laparoscopic pyelolisis.
RESULTS: Results obtained with laparoscopic dismembered pyeloplasties are completely comparable with those obtained with the conventional Anderson Hynes Pyeloplasty. Outcomes were very favourable in 7/9 patients in the series; another one shows a discrete improvement and the other one did not return for control. Is does not happen the same with pyelo-ureterolysis. Two of them had a good outcome, other two remain the same, and another one has not had his control yet.
CONCLUSIONS: After 8 years, laparoscopic pyeloplasty has consolidated as the elective technique in cases of recoverable hydronephrosis, secondary to crossing vessels or which have a redundant renal pelvis. A few important modifications to the technique have been proposed; exceptions are that it can also be done by retroperitoneoscopy and that in some cases equally good results may be obtained with the Fenger's laparoscopic pyeloplasty.
METHODS: We describe the surgical technique proposed by Schluesser et al., which was applied to 9 patients in our series. Another 4 patients underwent a simple laparoscopic pyelolisis.
RESULTS: Results obtained with laparoscopic dismembered pyeloplasties are completely comparable with those obtained with the conventional Anderson Hynes Pyeloplasty. Outcomes were very favourable in 7/9 patients in the series; another one shows a discrete improvement and the other one did not return for control. Is does not happen the same with pyelo-ureterolysis. Two of them had a good outcome, other two remain the same, and another one has not had his control yet.
CONCLUSIONS: After 8 years, laparoscopic pyeloplasty has consolidated as the elective technique in cases of recoverable hydronephrosis, secondary to crossing vessels or which have a redundant renal pelvis. A few important modifications to the technique have been proposed; exceptions are that it can also be done by retroperitoneoscopy and that in some cases equally good results may be obtained with the Fenger's laparoscopic pyeloplasty.