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Titolo:
Retroperitoneoscopic dismembered pyeloplasty for pelvi-ureteric junction obstruction in infants and children
Autore:
Yeung, CK; Tam, YH; Sihoe, JDY; Lee, KH; Liu, KW;
Indirizzi:
Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Div Paediat Surg, Shatin, Hong Kong, Peoples R China Chinese Univ Hong Kong Shatin Hong Kong Peoples R China Peoples R China
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 87, anno: 2001,
pagine: 509 - 513
SICI:
1464-4096(200104)87:6<509:RDPFPJ>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
URETEROPELVIC JUNCTION; PERCUTANEOUS ENDOPYELOTOMY; FOLLOW-UP; REPAIR;
Keywords:
laparoscopy; PUJ obstruction; dismembered pyeloplasty; retroperitoneal; children;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Yeung, CK Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Div Paediat Surg, Shatin, Hong Kong, Peoples R China Chinese Univ Hong Kong Shatin Hong Kong Peoples R China China
Citazione:
C.K. Yeung et al., "Retroperitoneoscopic dismembered pyeloplasty for pelvi-ureteric junction obstruction in infants and children", BJU INT, 87(6), 2001, pp. 509-513

Abstract

Objective To report our initial experience of endoscopic dismembered pyeloplasty through a retroperitoneal approach in infants and children with pelvi-ureteric junction (PUJ) obstruction,Patients and methods Thirteen infants and children with PUJ obstruction underwent retroperitoneoscopic dismembered pyeloplasty (mean age at operation2.7 years, range 0.25-10). Nine patients presented with complications secondary to PUJ obstruction, including urinary tract infection, pyonephrosis and increasing hydronephrosis with impairment in renal function. The other four patients had recurrent loin pain secondary to intermittent PUJ obstruction, The patient was placed in semi-prone (for left-sided) or a semilateralposition (for right-sided PUJ obstruction), The retroperitoneal space was entered via a l-cm incision over the mid-axillary line and further developed using a glove balloon. Video-retroperitoneoscopy was undertaken using a 5-mm laparoscope. Dismembered pyeloplasty was carried out with the pelvi-ureteric anastomosis fashioned using fine polydioxanone sutures over a double-pigtail ureteric stent,Results The retroperitoneoscopic dismembered pyeloplasty was successful in12 patients, while one with previous percutaneous nephrostomy drainage forpyonephrosis required open conversion because of difficulties in developing the retroperitoneal space. The mean (range) operative duration was 143 (103-235) min. All patients had a rapid and uneventful recovery. The drainagewas satisfactory in all 12 patients on a follow-up scan. Conclusions Retroperitoneoscopic dismembered pyeloplasty is effective and safe in infants and young children giving a good early outcome, although the long-term results await further studies.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 22:32:03