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Pediatric laparoscopic dismembered pyeloplasty: technique and results in 25 patients

Author(s): Murat Savaş | Ercan Yeni | Halil Çiftci | Halil Öncel | Adem Altunkol | Mazhar Utangac

Journal: Turkish Journal of Urology
ISSN 1300-5804

Volume: 36;
Issue: 03;
Start page: 233;
Date: 2010;
Original page

Keywords: Laparoscopic pyeloplasty | pediatric laparoscopy | ureteropelvic junction stenosis.

Objective: To evaluate the postoperative and functional results of the laparoscopic dismembered pyeloplasty (LDP).Materials and methods: Between January 2007 and Augst 2009, we performed 25 LDP in our clinic. All patients presented with an ureteropelvic junction obstruction and dilatation of renal calyx system with an enlarged renal pelvis. Demographic data, perioperative and postoperative parameters, including operating time, estimated blood loss, complications, length of hospital stay, functional outcome were evaluated.Results: The mean operative time for LDP was 115 (range 65-230) min and the mean estimated blood loss was negligible in all patients. The mean hospital stay was 4.7 (range 3-11) days. No conversion to open surgery occurred. In the follow-up, we noted success in 92% of the patients.Conclusion: LDP, if performed by expert surgeons in high-volume centers, presents results that are comparable with open surgery, with lower surgical trauma for the patients.