Cure du syndrome de Jonction Pyelo-Ureterale par voie laparoscopique : Résultats et clés du succès au cours de la courbe d'apprentissage

Bentani, N.; Moudouni, S.; Wakrim, B.; Amine, Mohamed; Hanich, T.; Saghir, O.; Barjani, F.; Lakmichi, Mohamed Amine; Dahami, Z.; Sarf, I.

doi:10.1016/j.afju.2012.04.011

Cited by 5 publications

(12 citation statements)

References 21 publications

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“…Our small series cannot be explained by a low prevalence in the Zinder region, but rather by under-reporting of cases for lack of diagnostic means and our study included only adult patients. The male predominance (66.7%) found in our series is described by several studies [2–4, 8, 9, 11, 17, 18]. The average age of 32.7 years in our study is consistent with the data found in literature.…”

Section: Discussionsupporting

confidence: 92%

“…The average age of 32.7 years in our study is consistent with the data found in literature. Most of the authors found an average age ranges between 26 and 36 years [2, 4, 8, 9, 11]. Moalic et al [12] reported an average age of 44.8 years.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Pyelo-ureteral junction syndrome (PUJS), also known as primary hydronephrosis, is a common cause of urinary malformation in the upper urinary tract [1–4]. It is characterized by a narrowing of the junction between the pelvis and the ureter [1, 2, 4–6]. PUJS may result from an intrinsic, functional, congenital abnormality of the ureteral wall or extrinsic compression more often by a lower polar vessel [2, 3, 6].…”

Section: Introductionmentioning

confidence: 99%

“…In resource-limited settings, the diagnosis is often carried out during clinical manifestations, sometimes in adulthood [2, 8, 9]. Since Anderson-Hynes’s first description in 1949 [10], open pyeloplasty has been the gold standard in the surgical treatment of PUJS with a success rate greater than 90% [2, 4, 5, 11]. Today, with the progress of minimally invasive surgery in developed countries, pyeloplasty by laparoscopic or robotic approaches is supplanting open surgery; in fact, the minimally invasive approaches produce the same success rates, with aesthetic advantages, low morbidity, and short convalescence [1, 3, 6, 12].…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

et al. 2019

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BackgroundPyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss’s procedure at the Zinder National Hospital..MethodsThis was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS.ResultsTwelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53–97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% (n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs.ConclusionThe Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

et al. 2019

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Anderson-Hines Open Pyeloplasty in the Treatment of Pyelo-Ureteral Junction Syndrome: Results from 36 Cases

Odzébé¹,

Mboutol-Mandavo²,

Opara³

et al. 2019

OJU

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Goal: To evaluate the results and complications of open pyeloplasty according to Anderson-Hynestechnic. Patients and Methods: We conducted a retrospective study from 2000 to 2014. The study included 36 cases of opening the ureteropyelic junction operated pit syndrome according to Anderson-Hynes technique. Results: Lumbotomy was used in all patients. A pelvic pyelolithotomy for lithiasis was performed in two patients (5.5%) and unwinding of a lower polar pedicle in 3 cases (8.3%). The average duration of response was 119 ± 15 min. The average length of hospital stay was 11.2 ± 3 days. Patients were followed for a mean of 10 months. Thirty-five patients were asymptomatic and in one case lower back pain persisted. IVU to 6 months showed a permeable junction in 97.2% of cases. Seven patients (19.4%) had short-term complications. Ureteropelvic stenosis was the only complication in the medium and long term in one case (2.8%). The success rate of the Pyeloplasty was 97.2%. Conclusion: The open pyeloplasty as Anderson-Hynes remains the treatment of choice in our context SJPU with great results. The indications tend to decrease in favor of laparoscopic pyeloplasty.

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Pyeloplasty According to Küss-Anderson-Hynes: Results and Complications at the Urology-Andrology Department of the Sino-Guinean Friendship Hospital

Diallo¹,

Diallo²,

Diallo³

et al. 2022

OJU

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Objective: Evaluate pyeloplasty according to Küss-Anderson-Hynes at the urology-andrology department of the Sino-Guinean Friendship Hospital. Patient and Method: This is a 3-year prospective descriptive study from January 1, 2018 to December 31, 2020. It focused on a sample of 21 patients, who had undergone pyeloplasty according to Küss-Anderson-Hynes. Results: The averages age of the patients was 24.24 years. Lumbar pain was the main reason for consultation in 71.43% of cases. pyeloplasty according to Küss-Anderson-Hynes alone was performed in 76.20% of cases. It was associated with lower pole vessel uncrossing in 14.29% of cases and in 9.52% of cases with pyelolithotomy. The main Postoperative complications consisted of surgical site infections (23.81%) and fistula of the pyelo-ureteral junction (9.52%). The result of the pyeloplasty evaluated after three years, was qualified as good in 13 patients (86.67%), conversely the result was declared bad in 2 patients or 13.33%. During the follow-up period, postoperatively, we had lost sight of 6 patients. Conclusion: Pyeloplasty according to Küss-Anderson-Hynes in addition to its excellent results reported by the literature was the only therapeutic alternative performed during this study. However, its indications are considerably reduced with the advancement of laparoscopy.

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Cure du syndrome de Jonction Pyelo-Ureterale par voie laparoscopique : Résultats et clés du succès au cours de la courbe d'apprentissage

Cited by 5 publications

References 21 publications

Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

Anderson-Hines Open Pyeloplasty in the Treatment of Pyelo-Ureteral Junction Syndrome: Results from 36 Cases

Pyeloplasty According to Küss-Anderson-Hynes: Results and Complications at the Urology-Andrology Department of the Sino-Guinean Friendship Hospital

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Cure du syndrome de Jonction Pyelo-Ureterale par voie laparoscopique : Résultats et clés du succès au cours de la courbe d'apprentissage

Cited by 5 publications

References 21 publications

Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

Anderson-Hines Open Pyeloplasty in the Treatment of Pyelo-Ureteral Junction Syndrome: Results from 36 Cases

Pyeloplasty According to K&#252;ss-Anderson-Hynes: Results and Complications at the Urology-Andrology Department of the Sino-Guinean Friendship Hospital

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Pyeloplasty According to Küss-Anderson-Hynes: Results and Complications at the Urology-Andrology Department of the Sino-Guinean Friendship Hospital