C22 CONGENITAL URETEROPELVIC JUNCTION OBSTRUCTION IN PEDIATRIC PATIENTS – OPEN SURGERY RESULTS

2011 ◽  
Vol 10 (9) ◽  
pp. 618
Author(s):  
I. Sinescu ◽  
M.A. Manu ◽  
C. Chibelean ◽  
C. Gingu ◽  
C. Surcel ◽  
...  
Keyword(s):  
Open Surgery ◽  
Pediatric Patients ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

2021 ◽  
pp. 039156032110261
Author(s):  
Lorenzo Masieri ◽  
Simone Sforza ◽  
Alekseja Manera ◽  
Luca Lambertini ◽  
Alfonso Crisci ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Pediatric Patients ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Tertiary Referral Center ◽  
Flexible Cystoscope ◽  
Effective Option ◽  
Open Pyeloplasty

Background: Ureteropelvic Junction Obstruction (UPJO) is the most common congenital ureteral anomaly. Nowadays, according to the increasing incidence of urolithiasis, 20% of children with UPJO presents urolithiasis. Open pyeloplasty was the standard treatment before the introduction of minimally invasive surgery (MIS). Nevertheless, only scattered experiences on MIS were previously described and universal agreement on the treatment of UPJO plus urolithiasis is still missing. Objective: The study aim was to describe our experience with a series of pediatric patients affected by UPJO and urolithiasis treated with robot-assisted pyeloplasty (RAP) and endoscopic removal of stones using a flexible cystoscope and a stones basket in a singular tertiary referral center. Material and methods: We retrospectively reviewed our data from pediatric patients affected by UPJO and urolithiasis undergoing RAP between April 2013 and December 2019. The analysis was conducted on seven patients. All procedures were performed by one expert robotic surgeon and one endoscopic surgeon skilled in the management of urolithiasis. Results: The mean age was 7 years (IQR 4–16). The median stone area was 77.7 mm two (IQR 50.2–148.4). Most of them (71.4%) presented preoperative symptoms. The median operative time was 110 min (IQR 104–125) with a console time of 90 (IQR 90–105). The median length of stay was 5 days (IQR 4–5). Median follow-up was 16 months (IQR 10–25). Conclusion: RAP with concomitant flexible ureteroscope is a safe and effective option for the simultaneous management of UPJO with urolithiasis with excellent outcomes in children.

Open stone surgery for kidney stones

2017 ◽  
Author(s):  
Gastón M. Astroza ◽  
Ghalib Jibara ◽  
Michael E. Lipkin ◽  
Glenn M. Preminger
Keyword(s):  
Shock Wave ◽  
Minimally Invasive ◽  
Kidney Stones ◽  
Open Surgery ◽  
Ureteropelvic Junction Obstruction ◽  
Minimally Invasive Therapy ◽  
Ureteropelvic Junction ◽  
Open Approach ◽  
Invasive Therapy ◽  
Wave Technology

The open approach for stone surgery is currently used infrequently in patients undergoing stone removal. Currently an associated anatomic abnormality, a failure of or a contraindication to minimally invasive therapy, or a large and complex stone are the infrequent indications for open surgery. For these indications, laparoscopic or robotic approaches have almost completely replaced open procedures in the hands of skilled laparoscopic surgeons. Pyelolithotomy was supplanted almost 20 years ago by the advent of percutaneous and shock wave technology. Currently, the only indications for this procedure are a failure of or contraindication to other techniques, or the presence of an associated abnormality such as ureteropelvic junction obstruction, which could then be managed simultaneously.

scholarly journals Use of double-J ureteric stents post-laparoscopic pyeloplasty to treat ureteropelvic junction obstruction in hydronephrosis for pediatric patients: a single-center experience

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091878
Author(s):  
Haobo Zhu ◽  
Jun Wang ◽  
Yongji Deng ◽  
Liqu Huang ◽  
Xiaojiang Zhu ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Ureteropelvic Junction Obstruction ◽  
Stent Migration ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Clinical Variables ◽  
Single Center Experience ◽  
Post Surgery ◽  
Ureteric Stents ◽  
Double J Stent

Objectives We aimed to investigate the safety concerns associated with placing double-J ureteric stents post-laparoscopic pyeloplasty surgery for congenital ureteropelvic junction obstruction (UPJO) and hydronephrosis. Methods A total of 1349 patients with postoperative double-J stent placement at our center were included. Clinical variables for enrolled patients were collected by two independent authors. We compared clinical variables and the efficacy of stenting post-laparoscopic pyeloplasty. Results The mean age of the patients was 4.23 ± 2.39 years. A total of 58.49% of patients were diagnosed with left UPJO with hydronephrosis and 33.95% were diagnosed with right UPJO. Furthermore, 7.56% of patients had bilateral UPJO. In all cases, 96.96% of indwelling double-J stents were successfully removed 4 weeks post-surgery. A total of 3.04% of the patients still required further management, including stent migration to the renal pelvis (0.37%), stent migration to the bladder (0.30%), prolapse of the stent through the ureter (0.15%), blockage of stents (1.85%), and fouling of stents (0.37%). Conclusions Double-J ureteric stents used after laparoscopic pyeloplasty for treating UPJO in hydronephrosis for pediatric patients is a safe, feasible, and beneficial method, which can be recommended for routine procedures. However, caution should be practiced for follow-up and removal using this method.

Prospective Evaluation of Health Related Quality of Life for Pediatric Patients With Ureteropelvic Junction Obstruction

2008 ◽  
Vol 180 (5) ◽  
pp. 2171-2176 ◽  
Author(s):  
Amruta Dipen Parekh ◽  
John C. Thomas ◽  
Lisa Trusler ◽  
Donna P. Ankerst ◽  
Jayant K. Deshpande ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pediatric Patients ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Prospective Evaluation ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals A comparative study on the Efficacy of Retroperitoneoscopic Pyeloplasty and Open Surgery for Ureteropelvic Junction Obstruction in Children

2021 ◽  
Vol 37 (7) ◽  
Author(s):  
Jianghua Jia ◽  
Qingsong Meng ◽  
Ming Zhang ◽  
Jinchun Qi ◽  
Dongbin Wang
Keyword(s):  
Comparative Study ◽  
Open Surgery ◽  
Ureteropelvic Junction Obstruction ◽  
Operation Time ◽  
Ureteropelvic Junction ◽  
Intraoperative Bleeding ◽  
Conversion To Open Surgery ◽  
Bleeding Volume ◽  
Surgical Methods ◽  
Significant Difference

Objectives: To compare the therapeutic effect of retroperitoneoscopic dismembered pyeloplasty and open ureteropelvic junction plasty on the ureteropelvic junction obstruction (UPJO) in children. Methods: After the retrospective analysis of clinical data, 78 children with ureteropelvic junction stenosis treated from January, 2012 to June, 2018 were divided into two groups: OP (open pyeloplasty) group (38 cases) and LP (laparoscopic dismembered pyeloplasty) group (40 cases) according to the surgical methods. The operation time, intraoperative bleeding volume, postoperative length of stay (LOS), postoperative complication rate, postoperative hydronephrosis improvement and other indicators were compared between the two groups. Results: All patients underwent surgery successfully, without conversion to open surgery in LP group. The incidence of postoperative urine leakage and the recovery of hydronephrosis between LP group and OP group 12 months after operation showed no statistically significant difference (P>0.05). The intraoperative bleeding volume, the incidence of postoperative retroperitoneal hematoma, and the postoperative LOS in LP group were lower than those in OP group, while the operation time was longer than that in the OP group, with statistically significant difference (P<0.05). Conclusion: Retroperitoneoscopic dismembered pyeloplasty had similar effect with open dismembered pyeloplasty, but faster recovery and fewer complications, so it has become the preferred treatment method for UPJO in children. doi: https://doi.org/10.12669/pjms.37.7.4205 How to cite this:Jia J, Meng Q, Zhang M, Qi J, Wang D. A comparative study on the Efficacy of Retroperitoneoscopic Pyeloplasty and Open Surgery for Ureteropelvic Junction Obstruction in Children. Pak J Med Sci. 2021;37(7):---------.  doi: https://doi.org/10.12669/pjms.37.7.4205 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Sign in / Sign up

Export Citation Format

Share Document