PTU - Polskie Towarzystwo Urologiczne
list of articles:

Laparoscopic, transperitoneal pyeloplasty - own experience based on the first 20 cases
Article published in Urologia Polska 2003/56/2.

authors

Tomasz Szydełko, Jarosław Kasprzak, Tadeusz Niezgoda, Romuald Zdrojowy, Janusz Dembowski, Anna Kołodziej, Wojciech Apoznański, Jerzy Lorenz
Katedra i Klinika Urologii Akademii Medycznej we Wrocławiu
Kierownik kliniki: prof, dr hab. Jerzy Lorenz

keywords

kidney, hydronephrosis, laparoscopy, pyeloplasty

summary

Objective. The aim of the study was to describe the authors\' experience based on the first 20 cases treated by transperitoneal laparoscopy
for UPJ obstruction. Material and methods. From November 2001 to January 2003, 20 trasperitoneal laparoscopic pyeloplaslies for UPJ obstruction were
performed. All of them were four- trocar procedures. The youngest patient was 16. the oldest was 5 7.9 dismembered pyeloplasties. 9 Y-
V and 2 Fenger plasties were performed. The anastomosis was done intracorporcally, using 4-0 Maxon interrupted sutures. Follow-up
studies included an IVP. ultrasound and Whitaker test (in 2 cases) 3-6 months postoperatively. Results. No significant postoperative complications were observed, hi 2 patients a rise of temperature to 38C was noted. One patient had
prolonged urine leakage (10 days), which was treated conservatively. 14 patients underwent control IVP and ultrasound. All of them
were pain free. In 12 cases less hydronephrosis, visible UPJ and/or normalization of drainage were observed. In 2 additional cases
Whitaker test revealed low intnirenal pressure. Conclusions. The results of laparoscopic pyeloplasties compare with those achieved by open procedures with less morbidity and discomfort.

references

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correspondence

Tomasz Szydełko Klinika Urologii AM
pl. 1 Maja 8
50-043 Wroclaw