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Paper Information

Journal:   UROLOGY JOURNAL   Summer 2004 , Volume 1 , Number 3; Page(s) 165 To 169.
 
Paper: 

A COMPARISON BETWEEN LAPAROSCOPIC AND OPEN PYELOPLASTY IN PATIENTS WITH URETEROPELVIC JUNCTION OBSTRUCTION

 
 
Author(s):  SIMFOROOSH N., BASIRI A., TABIBI A., DANESH A.K., SHARIFI AGHDAS F., ZIAEE S., NOURALIZADEH A., HOSSEINI MOGHADAM S.M.M.
 
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Abstract: 
Purpose: To compare clinical and radiological outcomes, complications, and hospital stay in laparoscopic and open pyeloplasty. Materials and Methods: From February 2002 to February 2003, 69 patients with ureteropelvic junction obstruction (UPJO) were assigned into two groups. Thirty-seven patients underwent transperitoneal laparoscopic pyeloplasty and 32 underwent open surgical pyeloplasty. Clinical symptoms were assessed before and after surgery, subjectively. Radiological assessment was also done three months postoperatively. Results: Mean operative time was 3.2 hours and 2.2 hours in laparoscopic and open pyeloplasty groups, respectively. Intraoperative bleeding was trivial in both groups and no complication or conversion to open surgery occurred. Postoperative complication rates were 24% and 6%in laparoscopic and open pyeloplasty groups, respectively. Mean hospital stay was similar (6.2 days) in the two groups. Mean follow-upwas 16.5 months versus 11.4 months. Clinical and radiological success rates were 89% and 83.8% for laparoscopy group versus 96.5% and 87%for open pyeloplasty group. Due to recurrence of stricture, repeated surgery was performed in 4 patients of laparoscopy and 1 of open pyeloplasty groups. Conclusion: Laparoscopic pyeloplasty is a less invasive method with less pain, cosmetic advantages, no long incision, and outcome comparable with open surgery. Hospital stay js also not longer than that jn open surgerjes. Hence, laparoscopjc pyeloplasty can be a substjtute for skilled surgeons.
 
Keyword(s): URETEROPELVIC JUNCTION, PYELOPLASTY, LAPAROSCOPY
 
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