Reflective Practice About Retroperitoneal Laparoscopy in Comparison to Open Surgery for Ureteropelvic Junction Obstruction Repair in Children Less Than 1 Year of Age

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.

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Transperitoneal Laparoscopic Pyeloplasty for Primary Repair of Ureteropelvic Junction Obstruction in Infants and Children: Comparison With Open Surgery

The Journal of Urology ◽

10.1016/j.juro.2007.03.159 ◽

2007 ◽

Vol 178 (4S) ◽

pp. 1579-1583 ◽

Cited By ~ 73

Author(s):

Lisandro A. Piaggio ◽

Julie Franc-Guimond ◽

Paul H. Noh ◽

Mark Wehry ◽

T. Ernesto Figueroa ◽

...

Keyword(s):

Open Surgery ◽

Ureteropelvic Junction Obstruction ◽

Primary Repair ◽

Infants And Children ◽

Ureteropelvic Junction ◽

Laparoscopic Pyeloplasty ◽

In Infants And Children

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

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.7.4205 ◽

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.

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Laparoscopic Pyeloplasty in Secondary Ureteropelvic Junction Obstruction after Failed Open Surgery

Journal of Endourology ◽

10.1089/end.2006.0414 ◽

2007 ◽

Vol 21 (9) ◽

pp. 1045-1052 ◽

Cited By ~ 23

Author(s):

A. Basiri ◽

S. Behjati ◽

S. Zand ◽

S.M. Hosseini Moghaddam

Keyword(s):

Open Surgery ◽

Ureteropelvic Junction Obstruction ◽

Ureteropelvic Junction ◽

Laparoscopic Pyeloplasty

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Comparison between open and laproscopic pyeloplasty in Al-Diwaniya Teaching Hospital

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1374 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Ahmed Ali Al-Hamzawi

Keyword(s):

Hospital Stay ◽

Success Rate ◽

Teaching Hospital ◽

Gold Standard ◽

Open Surgery ◽

Operative Time ◽

Ureteropelvic Junction Obstruction ◽

Ureteropelvic Junction ◽

Laparoscopic Pyeloplasty ◽

Open Pyeloplasty

Background: Historically open pyeloplasty has been regarded as the gold standard for the surgical management of ureteropelvic junction obstruction (UPJO). The treatment of this condition has evolved considerably over the past two decades resulting in new surgical approaches. One of these approaches is laparoscopic pyeloplasty,this technique aimed to achieve the same results as open surgery,with lower rates of morbidity and complications. Aim of the study: To compare the operative time,hospital stay,analgesic use,perioperative complications,and success rate between laparoscopic and open pyeloplasty in Al Diwaniya Teaching Hospital. Patients & Methods: From October 2014 to October 2016,40 patients (26 males and 14 females) with Ureteropelvic junction obstruction who had been admitted to the urology unit of Al Diwaniya Teaching Hospital were enrolled in this study. Their ages ranged from 10 to 44 years with a mean age of 24 years. The patients were selected on the basis of standard indications for PUJO repair. The patients were assigned into two groups. Twenty patients underwent transperitoneal laparoscopic pyeloplasty and 20 patients underwent open surgery. The choice between the two types of operation was selected according to surgeon's preference (only surgeon who has enough experience with laparoscopic surgeries perform laparoscopic pyeloplasty,while the other performed open surgery). Preoperative evaluations were done using abdominal ultrasound and IVP. Laboratory tests included urinalysis,urine culture,blood urea,and serum creatinine. Blood group was determined. We compared the operative time,complications rates,hospital stay and success rate of the two groups.Mean operative time was 2 hours and 3 hours in open and laparoscopic pyeloplasty groups,respectively. Mean hospital stay was shorter (24 hours) in the laparoscopic group and (48 hours) in open group. Mean follow-up period was 9 months. Postoperative complication rates were 20 % and 30 % in laparoscopic and open pyeloplasty groups,respectively. Success rates were 95% and 90 % for open and laparoscopic pyeloplasty groups,respectively. Repeated surgery was performed in 2 patients of laparoscopy and 1 of open pyeloplasty groups due to recurrence of stricture.The safety and efficacy of laparoscopic pyeloplasty is comparable to that of open pyeloplasty,with better cosmetic results and shorter hospital stay,therefore laparoscopic pyeloplasty can replace open surgery and may be considered the gold standard technique for the treatment of ureteropelvic junction obstruction in expert hands.

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