Laparoscopic pyeloplasty versus open pyeloplasty for recurrent ureteropelvic junction obstruction in children

Abdel-Karim, Aly M.; Fahmy, Ahmed; Moussa, Ahmed; Rashad, Hazem; Elbadry, Mohamed; Badawy, Haytham; Hammady, Ahmed

doi:10.1016/j.jpurol.2016.06.010

Cited by 37 publications

(23 citation statements)

References 24 publications

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“…[ 9 10 11 12 13 14 ] Of the six retrospective studies, two used prospectively collected data. [ 11 14 ] Two studies were from North America,[ 11 14 ] two from Egypt,[ 9 10 ] one from India,[ 13 ] and one from Brazil. [ 12 ] One publication reported matching numbers of patient groups for age and surgical procedure, and all of them were based on a single-surgeon experience.…”

Section: Resultsmentioning

confidence: 99%

“…Of the six studies that assessed operative time, two showed similar operative time for RLP and ROP,[ 10 13 ] two indicated that OP time was shorter than RLP time[ 9 12 ] (with an insignificant difference in one study[ 12 ]), and two revealed that RLP operative time was insignificantly shorter than OP time. [ 11 14 ] The meta-analysis of six studies showed that ROP was associated with a 12-min reduction of operative time (random effects model; WMD: 12.7 min; 95% confidence interval [CI] 24.6–3; P = 0.14).…”

Section: Resultsmentioning

confidence: 99%

“…Of the six studies that analyzed the LOS, four reported that RLP was associated with a shorter hospital stay,[ 9 11 12 14 ] while two showed no difference between the two approaches. [ 10 13 ] The meta-analysis of extractable data from all studies demonstrated a significantly shorter hospital stay after RLP than after ROP (random effects model; WMD: 0.6 days; 95% CI: 0.6–0.4; P < 0.01), subtotal (95% CI), and WMD = −0.49 (−0.57, −0.41), test for heterogeneity: χ 2 = 8.00, df = 3 ( P < 0.01), I 2 = 47.8%, test for overall effect: Z = 18.36 ( P = 0.004), as shown in Figure 3 .…”

Section: Resultsmentioning

confidence: 99%

“…After the process of selection and review, six studies were used[ 9 10 11 12 13 14 ] [ Figure 1 ], with 97% approval among reviewers. Any disagreement was resolved by unanimity between reviewers.…”

Section: Methodsmentioning

confidence: 99%

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Redo laparoscopic pyeloplasty among children: A systematic review and meta-analysis

Alhazmi

2018

Urol Ann

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Laparoscopic pyeloplasty (LP) is more beneficial than open procedures. However, studies on laparoscopic management of cases with secondary ureteropelvic junction obstruction (SUPJO) after previous failed pyeloplasty in the pediatric population are lacking. This meta-analysis aimed to assess the difference between redo LP (RLP) and redo open pyeloplasty (ROP) for children with SUPJO, focusing on certain criteria. All recent studies on RLP and ROP in children with SUPJO were searched. Search engines such as Medline, PubMed, and The Cochrane Library of Systematic Reviews were used. Sixty citations were specified. Two reviewers extracted data independently, screened the titles, and assessed the quality of each citation. Continuous data reported as a weighted mean difference (WMD) (95% confidence interval) and dichotomous data reported as relative risk were used. We measured the length of hospital stay (LOS) and operative time using weighted mean and success and complication rates using risk difference and odds ratio (OR). A random effects model was used to pool OR that was tested for heterogeneity. We specified six publications that minutely met our eligibility standards. Meta-analysis of given data resulted in the following: ROP showed reduction in operative time by 12 min (WMD: 12.7 min; P = 0.14). RLP had shorter LOS than ROP (WMD: 0.6 days; P < 0.01). No difference was observed in complication and success rates (OR: 0.8; P = 0.50 and OR: 1.2; P = 0.51, respectively). In conclusion, RLP seems to be better than ROP in terms of LOS reduction; however, both are comparable with respect to success and complication rates, especially postoperative urine leakage.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Redo laparoscopic pyeloplasty among children: A systematic review and meta-analysis

Alhazmi

2018

Urol Ann

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“…Бурное развитие эндоскопического оборудования послужило поводом к активному внедрению в клиническую практику эндовидеохирургических методов выполнения реконструктивных операций на ВМП. В связи с совершенствованием и отработкой техники выполнения подобных вмешательств практикующие урологи все чаще предпочитают открытым вмешательствам лапароскопическую пластику ЛМС, которая характеризуется меньшей инвазивностью и сравнительно более короткими сроками реабилитации [18][19][20][21]. По данным различных авторов, эффективность лапароскопических пластик ЛМС составляет более 90% (табл.…”

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