The long‐term results of Anderson–Hynes pyeloplasty

O'reilly, P. H.; Brooman, P. J. C.; Mak, Selene; Jones, Malcolm Anthony; Pickup, Catherine; Atkinson, Clare; Pollard, A. J.

doi:10.1046/j.1464-410x.2001.00108.x

Cited by 257 publications

(145 citation statements)

References 9 publications

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“…Open pyeloplasty has been the standard for managing PUJO with a success rate of > 90% in most hands [11,12]. Since the beginning of minimally invasive era, different approaches have been used to treat the disease, in an effort to reduce the morbidity associated with the open procedure.…”

Section: Discussionmentioning

confidence: 99%

Outcome analysis of robotic pyeloplasty: a large single‐centre experience

et al. 2010

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renography. The type of pyeloplasty was decided based on the size of the pelves, presence of crossing vessel, level of ureteric insertion and the length of obstruction. All surgery was done through a transperitoneal approach using four or five ports. The follow-up comprised IVU and renal dynamic scintigraphy. Relevant data were collected and analysed for perioperative morbidity, complications and long-term functional outcomes. RESULTSIn all, 86 RALPs were performed, including one bilateral, 41 right-sided and 43 leftsided cases. The mean operative time was 121 min, including an anastomosis time of 47 min. The mean estimated blood loss was 45 mL. The drain was removed within 48 h. The mean hospital stay was 2.5 days. Three patients had stents that migrated upwards, and prolonged drainage. The success rate was 97% (82/85) with a mean follow-up of 13.6 months. CONCLUSIONSRALP is highly effective for managing PUJO, with low morbidity, quick recovery and a durable success rate.

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Section: Discussionmentioning

confidence: 99%

Outcome analysis of robotic pyeloplasty: a large single‐centre experience

et al. 2010

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“…The open Anderson-Hynes procedure continues to be the gold standard, with an overall success rate of 90%. 1 To decrease the morbidity and hospital care costs associated with the large flank incision needed for the open procedure, a flurry of activity has been directed to developing minimally invasive surgical techniques to reduce morbidity while preserving excellent success rates. Endopyelotomy successfully reduced morbidity, but long-term follow-up revealed a lower success rate in comparison with the open procedure.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic pyeloplasty: the updated McMaster University experience

Dong

Wong

Alenezi

et al. 2013

CUAJ

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Objective: The open Anderson-Hynes procedure has an overall success rate of 90% for ureteropelvic junction obstruction. Laparoscopic pyeloplasty (LP) was developed to reduce morbidity and hospital stay while preserving the excellent results. We report on the results of our experience with laparoscopic pyeloplasty. Diuretic renal scan and U/S or IVP were performed at 6 months, and subsequent follow-up included a U/S or IVP as well as clinical assessment. Patients were assessed for pain and hydronephrosis on radiologic imaging, clearance on diuretic renal scan (T 1/2 ) and differential renal function. Methods: Results:We evaluated 73 patients. The mean patient age was 38 years (range 16-71 yr), the mean operating time was 218 minutes (range 110-409 min), and the mean blood loss was 57 mL (range 25-250 mL). Mean hospital stay was 3.0 days (range 2-7 d). The success rate was 90.4%, and failures were mainly due to poor function after surgery (3 patients). Pyelolithotomy was performed concomitantly on 6 patients, which on average extended operative time by 36 minutes. Conclusion:Our success rates are consistent with the LP experience of other centres and are comparable with rates for the open technique. Patients had short hospital stays, and complications were negligible. With experienced surgeons, LP should be the first-line treatment for ureteropelvic junction obstruction.

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“…4 Although several procedures have been described, open pyeloplasty is still one of the practiced approaches and one of the alternatives for treatment. [1][2][3] A quest for less invasive methods drove Schuessler et al 24 to describe the first laparoscopic pyeloplasty in 1993. Nowadays, laparoscopic pyeloplasty has been shown to be safe and effective, 5,9,25 with consistent and favorable results, challenging the open procedures as the gold standard in the treatment of UPJO.…”

Section: Discussionmentioning

confidence: 99%

“…The traditional gold standard for the management of ureteropelvic junction obstruction (UPJO) used to be open pyeloplasty, [1][2][3] but in the minimally invasive era, novel approaches have become apparent alternatives to UPJO management. 4 In addition, in recent years, laparoscopic pyeloplasty has been moving rapidly toward replacing open surgery as the gold standard in the treatment of UPJO.…”

Section: Introductionmentioning

confidence: 99%