AI Article Synopsis
- The study aimed to assess the safety and effectiveness of mini-laparoscopic pyeloplasty for treating ureteropelvic junction obstruction (UPJO) in infants, by comparing it to traditional open surgery.
- Data from 66 infants were analyzed, showing that mini-laparoscopic surgery resulted in significantly less bleeding, shorter hospital stays, and fewer complications related to incisions, with no notable difference in long-term outcomes compared to open surgery.
- The findings conclude that mini-laparoscopic pyeloplasty is as safe and effective as open surgery, offering benefits like reduced pain, quicker recovery, and better cosmetic results.
Article Abstract
Purpose: The aim of this study was to investigate the safety and clinical efficacy of mini-laparoscopic pyeloplasty in treating ureteropelvic junction obstruction (UPJO) in infants.
Material And Methods: We retrospectively analysed the clinical data of 66 infants with UPJO from January 2013 to August 2018 at our hospital. They were divided into the laparoscopic surgery group (group A) and the open surgery group (group B), depending on the surgical method.
Results: The bleeding volume, analgesia duration, postoperative hospitalization duration, and incision length in group A were significantly less than those in group B ( < .05). The incidence of incision dehiscence was 0% in group A and 11.7% in group B ( = .045). At the postoperative follow-up, the incidence of anastomotic stenosis was 6.2% in group A and 5.9% in group B ( = .719). The anteroposterior diameter and glomerular filtration rate were significantly improved at the one-year follow-up, but there was no significant difference between the groups ( > .05).
Conclusions: Mini-laparoscopic pyeloplasty to treat UPJO in infants has the same early clinical efficacy and safety as open surgery, and this procedure has the advantages of fewer incisions, less pain, quicker recovery, and better cosmetic outcomes.
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| http://dx.doi.org/10.1080/13645706.2020.1826973 | DOI Listing |
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- * Results showed that EUSSS-MLP significantly reduced the time needed for ureteral preparation and double-J stenting (5.7 minutes vs. 19.2 minutes) and had a lower overall surgery duration compared to the traditional method.
- * There were no notable differences in postoperative complications or success rates between the two groups, indicating that EUSSS is a safe and effective option for pediatric laparoscopic pyeloplasty
Mini-laparoscopic pyeloplasty to treat UPJO in infants.
Minim Invasive Ther Allied Technol
March 2022
Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China.
Article Synopsis
- The study aimed to assess the safety and effectiveness of mini-laparoscopic pyeloplasty for treating ureteropelvic junction obstruction (UPJO) in infants, by comparing it to traditional open surgery.
- Data from 66 infants were analyzed, showing that mini-laparoscopic surgery resulted in significantly less bleeding, shorter hospital stays, and fewer complications related to incisions, with no notable difference in long-term outcomes compared to open surgery.
- The findings conclude that mini-laparoscopic pyeloplasty is as safe and effective as open surgery, offering benefits like reduced pain, quicker recovery, and better cosmetic results.
Editorial Comment: The outcomes of mini-laparoscopic pyeloplasty in children - brazilian experience.
Int Braz J Urol
April 2020
Associação Brasileira de Cirurgia Pediátrica, Rio de Janeiro, RJ, Brasil.
The outcomes of mini-laparoscopic pyeloplasty in children - brazilian experience.
Int Braz J Urol
May 2020
Departamento de Urologia, Neocentro - Hospital Vila da Serra, Nova Lima, MG, Brasil.
Unlabelled: Objetive: Pelvicureteric junction (PUJ) obstruction is the main cause of hydronephrosis in childhood. Open pyeloplasty has been the gold standard treatment of this condition with success rate above 90%. The role of laparoscopic pyeloplasty (LP) in children is less well defined and has slowly emerged as an alternative procedure.
View Article and Find Full Text PDFMini-Laparoscopic Management of Ureteropelvic Junction Obstruction in Adults and Children: A High-Volume Case Series.
J Laparoendosc Adv Surg Tech A
June 2019
Urology and Nephrology Research Center (UNRC), ShahidBeheshti University of Medical Sciences, Tehran, Iran.
We retrospectively reviewed the perioperative outcomes of mini-laparoscopic procedure in the treatment of ureteropelvic junction obstruction (UPJO) in children and adults. From August 2009 to March 2017, 229 patients referred to our center to repair UPJO by mini-laparoscopic operation. In 203 cases, dismembered pyeloplasty was accomplished, while in other 26 cases, crossing aberrant vein division and crossing artery upward transposition were performed.
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