V576 RETROPERITONEOSCOPIC MINIPORT PYELOPLASTY IN CHILDREN: A SINGLE-CENTER EXPERIENCE

Field: Medicine (Health Sciences)

You have accessJournal of UrologyPediatrics1 Apr 2013V576 RETROPERITONEOSCOPIC MINIPORT PYELOPLASTY IN CHILDREN: A SINGLE-CENTER EXPERIENCE Ender Ozden, Yakup Bostanci, Fatih Atac, Gurkan Genc, Yarkin Kamil Yakupoglu, Aykut Sýrtbas, Ozan Ozkaya, and Saban Sarikaya Ender OzdenEnder Ozden Samsun, Turkey More articles by this author , Yakup BostanciYakup Bostanci Samsun, Turkey More articles by this author , Fatih AtacFatih Atac Samsun, Turkey More articles by this author , Gurkan GencGurkan Genc Samsun, Turkey More articles by this author , Yarkin Kamil YakupogluYarkin Kamil Yakupoglu Samsun, Turkey More articles by this author , Aykut SýrtbasAykut Sýrtbas Samsun, Turkey More articles by this author , Ozan OzkayaOzan Ozkaya Samsun, Turkey More articles by this author , and Saban SarikayaSaban Sarikaya Samsun, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1972AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic pyeloplasty (LPP) for treatment of ureteropelvic junction obstruction (UPJO) is comparable to open pyeloplasty regarding success rates. Experience with miniport LPP however remains limited. We aim to present our outcomes for retroperitoneoscopic miniport LPP for UPJO. METHODS Between April 2011 and October 2012 a total of 16 patients were operated for UPJO using the miniport LPP technique. After the retrograde pyelography, retroperitoneal access was achieved under the vision of a 5mm 30° telescope at the 90° flank position, with the aid of balloon dilatation. One 5mm trocar for telescope and a pair of 3.5mm trocars were applied. The proximal ureter was dissected with bluntly, and the ureter was spatulated without being separated from the kidney pelvis. Pyeloplasty was performed by Anderson-Hynes technique using 5/0 vicryl. After pyeloplasty, a JJ stent was placed and the drain was left in situ in the retroperitoneal space. RESULTS Ten boys and six girls with an average age of 8.57±5.62 (1-17) years were evaluated. 11 cases were on the left and 5 were on the right side. Mean operation time was 123.4±32.1 (80-190) minutes, blood loss was minimal and hospital stay was 2.93±1.9(2-9) days. One minor complication (Clavien classification) was present. By the end of 3 months, no obstruction was observed in 15 cases scintigraphically. In the remaining one case while there were improvement both clinically and ultrasonographically however no change was observed on MAG-3 scintigraphy. CONCLUSIONS Retroperitoneoscopic miniport pyeloplasty is a feasable technique to be preferred in terms of functional and cosmetic aspect. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e236 Peer Review Report Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ender Ozden Samsun, Turkey More articles by this author Yakup Bostanci Samsun, Turkey More articles by this author Fatih Atac Samsun, Turkey More articles by this author Gurkan Genc Samsun, Turkey More articles by this author Yarkin Kamil Yakupoglu Samsun, Turkey More articles by this author Aykut Sýrtbas Samsun, Turkey More articles by this author Ozan Ozkaya Samsun, Turkey More articles by this author Saban Sarikaya Samsun, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...