Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults
abd el-wareth, I., gamal, W., hammad, A., el-moghazy, H. (2017). Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults. EKB Journal Management System, 21(3), 35-41. doi: 10.21608/smj.2017.34675
Islam abd el-wareth; Wael gamal; Ahmed y hammad; Hazem el-moghazy. "Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults". EKB Journal Management System, 21, 3, 2017, 35-41. doi: 10.21608/smj.2017.34675
abd el-wareth, I., gamal, W., hammad, A., el-moghazy, H. (2017). 'Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults', EKB Journal Management System, 21(3), pp. 35-41. doi: 10.21608/smj.2017.34675
abd el-wareth, I., gamal, W., hammad, A., el-moghazy, H. Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults. EKB Journal Management System, 2017; 21(3): 35-41. doi: 10.21608/smj.2017.34675

Laparoscopic management of pelvi-ureteric junction obstruction after failed open surgery or Laparoscopic pyeloplasty in adults

Sohag Medical Journal
Article 4, Volume 21, Issue 3, October 2017, Page 35-41  XML PDF (290.99 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.34675
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Authors
Islam abd el-wareth1; Wael gamal1; Ahmed y hammad1; Hazem el-moghazy2
1Department of Urology and Reproductive Medicine, Faculty of Medicine, Sohag University.
2Department of Urology and Reproductive Medicine, Faculty of Midicine, Sohag University.
Abstract
Objectives: a prospective study of our experience and midterm results of laparoscopic pyeloplasty (LP) for patients who have failed open or Laparoscopic pyeloplasty in adults.
Patients and methods: Thirty two patients with failed open pyeloplasty were reviewed; all of them had transperitoneal dismembered LP. All procedures were performed by experienced laparoscopist during a period of two years.
Results: The study group consisted of 14 men and 18 women with the mean age of 29± 6 years. Mean operative time was 123± 22 minutes. Mean hospital stay was 4.7 ± 2.3 days. Mean follow-up was 5.6 ± 2.15 months (range 3-9 months). The overall success rate for secondary LP was 90.6%. There was no conversion to open surgery. Intraoperative and postoperative complications were 9.4 and 12.5% respectively.
Conclusions:LP is a safe and viable treatment option for secondary pelviureteric junction obstruction with high success rate but with long operative time. A good experience in laparoscopic reconstructive procedures is a prerequisite for optimal results.
Supplementary Files
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