Anderson-Hynes Pyeloplasty in Patients Less Than 12 Months Old. Is the Laparoscopic Approach Safe and Feasible?

García‐Aparicio, Luis; Blazquez-GomezEva,; MartinOriol,; Manzanares, Alejandro; García-SmithNatalie,; BejaranoMiguel,; RodoJoan,; RibóJosep, M

doi:10.1089/end.2013.0704

Cited by 32 publications

(23 citation statements)

References 18 publications

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“…Although there are some reported series of LP in infants with minimal complications ( 11 , 12 ); in other series, stent reported complications have ranged between 10 ( 1 ) and 35% of cases ( 13 ). Some authors reported acceptable results with unstented LP in selected cases ( 14 ) but others have published unfavorable results when no stents were used ( 15 ).…”

Section: Discussionmentioning

confidence: 96%

The BULT Method for Pediatric Minilaparoscopic Pyeloplasty in Infants: Technique and Results

2016

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We reviewed retrospectively the results of transperitoneal minilaparoscopic pyeloplasty in children younger than 2 years. The surgical technique utilized as well as the retrograde placement of the stent is described in detail. Twenty-four consecutive children with a mean age of 7.9 months (range 1-23), a mean weight of 7.4 kg (range 4-12), and a mean follow-up of 18 months (range 3-59) are included. Preoperative grade of dilatation was 3.8 (SFU scale) and postoperatively improved to 1.5. The AP diameter of the pelvis decreased from a mean of 28-9 mm. In 83% of cases, there was complete resolution of hydronephrosis (grades 0-2) and the rest showed improvement. There was one conversion to open surgery in a child with a horseshoe kidney. There was one omental prolapse though a port site in a child in whom an inappropriate drain was used. There were no stent-related complications and no reinterventions for persistent or recurrent obstruction. Given these outcomes, low complication rate and excellent cosmetic results, we recommend transperitoneal minilaparoscopy with a double J stent and a perirenal drain for infants requiring pyeloplasty.

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Section: Discussionmentioning

confidence: 96%

The BULT Method for Pediatric Minilaparoscopic Pyeloplasty in Infants: Technique and Results

2016

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“…In 2012, if the cut-off had been 10 kg (1 year old), 12 laparoscopic nephrectomies and 20 pyeloplasties could have been performed. This cut-off appears to be feasible both technically and in terms of anaesthesia [16]. With the introduction of robotic MIS, this goal might even be easier to accomplish [17,18].…”

Section: Discussionmentioning

confidence: 99%

Training potential in minimally invasive surgery in a tertiary care, paediatric urology centre

Schroeder

Chrzan²,

Klijn

et al. 2015

Journal of Pediatric Urology

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“…Yapılan çalışma-larda, ortalama kalış süresi 3,24 gün olarak belirtilmektedir. 12,13 Hastalarımızın hastanede kalış süresi ortalama 3,59 gün'dür.…”

Section: Discussionunclassified

Laparoscopic Pyeloplasty Experience of Adana Numune Training and Research Hospital

Kuyucu¹,

Deniz²,

Tümer³

et al. 2018

J Reconstr Urol

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Ö ÖZ ZE ET T A Am ma aç ç: : Laparoskopik piyeloplasti, özellikle son yıllarda sıklıkla kullanılmaya başlanmış, minimal invaziv cerrahi olmasının da etkisiyle pek çok ürolojik merkezde birinci basamak tedavi olarak kabul edilmiştir. Bu çalışmada, kliniğimizde uygulanan laparoskopik piyeloplasti deneyimlerimizin sunulması amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde Ağustos 2011-Şubat 2017 tarihleri arasında, laparoskopik piyeloplasti operasyonu yapılan hastaların dosyaları retrospektif olarak değerlendirildi. Port giriş tekniği olarak Hasson ve Veress iğne girişi yapıldı. Uygun hastalarda transmezokolik onarım yapılır iken, diğerlerinde kolon mediyalize edildi. Üreteropelvik darlık onarımında Anderson Hynes (dismembered) tekniği kullanıldı. B Bu ul lg gu ul la ar r: : Çalışmaya alınan 84 hastanın yaş ortalaması 21,3 (±13,6) yıldır. Ameliyat süresi ortalama 168 (±51,7) dk'dır. Hastaların 23 (%27,3)'üne Hasson, 61 (%72,7)'ine Veress girişi yapıldı. Hastaların 16 (%19)'sına transmezokolik onarım yapılmış iken, 68 hastada kolon kraniyalize edildi (%81). DJ kateter 79 (%94,1) hastaya takıldı. Postoperatif hastanede kalış süresi 3,59 (±1) gün idi. . S So on nu uç ç: : Üreteropelvik bileşke darlığında etkin cerrahi yöntem piyeloplasti olup, laparoskopik yöntemler cerrahi etkinlik, minimal hastanede kalış süresi, daha az intraoperatif hemoraji, postoperatif ağrının az olması açısından oldukça geçerli bir metoddur.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Laparoskopi; piyeloplasti; üreteropelvik bileşke; üriner darlıklar A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Laparoscopic pyeloplasty has been accepted as a first-line treatment in many urological centers, especially due to the fact that it has been used frequently in recent years and it is minimally invasive surgery. In this study, we aimed to present our experience of laparoscopic pyeloplasty in our clinic. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Patients who underwent laparoscopic pyeloplasty between August 2011-February 2017 were evaluated retrospectively. Hasson and Veress needle entry was made as port input technique. At appropriate times, transmesocolic repair was performed and the colon was medialized at other occasions. Anderson Hynes (dismembered) technique was used to repair ureteropelvic obstructions. R Re es su ul lt ts s: : The average age of 84 patients taken into employment is 21.3 (±13.6). The average duration of surgery is 168 (±51.7) minutes. Hasson open technic was used in 23 (27.3%) patients and the other hand Veress needle technic was used in 61 (72.7%) of all. Transmesocolic repair was performed in 16 (19%) patients and colon cranialization was performed in 68 (81%) patients. The DJ catheter was attached to 79 (94.1%) patients. The duration of stay in the postoperative hospital was 3.59 (±1) days. C Co on nc cl lu us si io on n: : Effective surgical method for ureteropelvic junction obstruction is pyeloplasty and laparoscopic methods are a very effective method ...

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Anderson-Hynes Pyeloplasty in Patients Less Than 12 Months Old. Is the Laparoscopic Approach Safe and Feasible?

Abstract: The laparoscopic approach of Anderson-Hynes pyeloplasty in patients less than 12 months old is a safe procedure with the same outcomes as the open approach.

Cited by 32 publications

References 18 publications

The BULT Method for Pediatric Minilaparoscopic Pyeloplasty in Infants: Technique and Results

The BULT Method for Pediatric Minilaparoscopic Pyeloplasty in Infants: Technique and Results

Training potential in minimally invasive surgery in a tertiary care, paediatric urology centre

Laparoscopic Pyeloplasty Experience of Adana Numune Training and Research Hospital

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