The outcomes of laparoscopic transperitoneal pyeloplasty for the treatment of ureteropelvic junction obstruction in adult patients


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Demirdağ Ç. , Ozman O., Çitgez S. , Önal B. , Talat Z.

The 13th South Eastern European Meeting (SEEM), Belgrade, Sırbistan Ve Karadağ, 21 - 22 Eylül 2018, cilt.17, sa.11, ss.2582

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 17
  • Basıldığı Şehir: Belgrade
  • Basıldığı Ülke: Sırbistan Ve Karadağ
  • Sayfa Sayıları: ss.2582

Özet

Introduction & Objectives: Laparoscopic transperitoneal pyeloplasty (LTP) is being widely preferred in treatment of ureteropelvic junction obstruction (UPJO). This study aims to assess the outcomes of treatment efficacy of the LTP applied in our clinic for treatment of UPJO in adult patients.

Materials & Methods: Data of patient, who underwent LTP procedure in our clinic between 2004 and 2017, were reviewed retrospectively. Data of 116 patients in total were included in the study. Cases were reviewed in terms of their demographic characteristics, complaints at admission, clinical, laboratory and radiological findings. The patients were divided into two groups and correlation of demographic data (age, age group, gender), side and presence of kidney stone with the presence of crossing vessel was investigated. Chi-square test, T-test and Fisher’s exact test were applied for statistical analysis.

Results: The mean age of the patients was 29.9 (19-51). Eight of the patients were the secondary patients who underwent open surgery upon diagnosis of UPJO. Fourty-one (35.3%) patients had the anomaly of crossing vessel compression, 17 (14.6%) kidney stone, 5 (4.3%) solitary kidney and 3 (2.5%) horseshoe kidney. Mean operating time was 124 (80-245) minutes. No statistically significant correlation was found between presence of crossing vessel with age, gender, side and presence of stone. Mean hospital stay was 3.05 (2-11) days and the mean postoperative follow-up time was 44 (12-120) months. Success rate was found to be 93.1%. One (0.8%) patient had perioperative and 10 (8.6%) patients had postoperative complications.

Conclusions: LTP is a feasible, effective and reliable option in treatment of UPJO with low complication rate and high success rate.