Concomitant Percutaneous Nephrolithotomy and Transperitoneal Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Complicated by Stones

2008 ◽  
Vol 22 (10) ◽  
pp. 2251-2256 ◽  
Author(s):  
Anshuman Agarwal ◽  
Anil Varshney ◽  
B.S. Bansal
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty

840: Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction: Comparing Davinci Robotic to Classic Laparoscopic Pyeloplasty

2005 ◽  
Vol 173 (4S) ◽  
pp. 228-228
Author(s):  
Scott V. Burgess ◽  
Michael M. Woods ◽  
Freddy Mendez-Torres ◽  
Erik P. Castle ◽  
Raju Thomas
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty

scholarly journals Management of ureteropelvic junction obstruction in horseshoe kidneys by an assortment of laparoscopic options

2015 ◽  
Vol 9 (11-12) ◽  
pp. 775 ◽  
Author(s):  
Pejman Shadpour ◽  
H. Habib Akhyari ◽  
Robab Maghsoudi ◽  
Masoud Etemadian
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Left Kidney ◽  
Operation Time ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Referral Centre ◽  
Laparoscopic Management ◽  
The Mean ◽  
Crossing Vessels

Introduction: We report our experience with laparoscopic management of ureteropelvic junction obstruction in horseshoe kidneys.Methods: Between February 2004 and March 2014, 15 patients with horseshoe kidneys and symptomatic ureteropelvic junction obstruction underwent laparoscopic management at our national referral centre. Depending on the anatomy and presence of obtrusive vessels or isthmus, we performed either dismembered, Scardino or Foley YV pyeloplasty, or Hellstrom vessel transposition. Patients were initially evaluated by ultrasonography, then diuretic scintiscan at 4 to 6 months, and followed by yearly clinical and sonographic exams.Results: This study included 11 male and 4 female patients between the ages of 4 to 51 year (average 17.7). The left kidney was involved in 12 patients (80%). Operation time was 129 minutes (range: 90–186), and patients were discharged within 2.8 days (range: 1–6). Although 8 (53.3%) patients had crossing vessels, of which 6 required transposing, the Hellstrom technique was solely used in 3 cases, of which notably 1 case failed to resolve and required laparoscopic Hynes within the next year. Eight cases underwent dismembered pyeloplasty, 2 Foley YV, 1 Scardino flap and 1 required isthmectomy and vessel suspension. At the mean follow-up of 60 (range: 18–120) months, the overall success rate was 93.3%.Conclusions: To our knowledge, this represents the largest report on laparoscopic pyeloplasty for horseshoe kidneys, providing the longest follow-up. Our findings confirm prior reports supporting laparoscopy and furthermore show that despite the prevalence of crossing vessels, transposition alone is seldom sufficient.

Robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction: comparison between pediatric and adult patients-Japanese series

2016 ◽  
Vol 11 (2) ◽  
pp. 151-157 ◽  
Author(s):  
Kentaro Mizuno ◽  
Yoshiyuki Kojima ◽  
Satoshi Kurokawa ◽  
Hideyuki Kamisawa ◽  
Hidenori Nishio ◽  
...  
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Adult Patients ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Robot Assisted

scholarly journals Navigating the Difficult Robotic Assisted Pyeloplasty

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
David D. Thiel
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Patient Positioning ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Successful Completion ◽  
Port Placement ◽  
Robotic Assisted ◽  
The Face ◽  
Difficult Situations ◽  
Repair Techniques

Pyeloplasty is the gold standard therapy for ureteropelvic junction obstruction. Robotic assisted pyeloplasty has been widely adopted by urologists with and without prior laparoscopic pyeloplasty experience. However, difficult situations encountered during robotic assisted pyeloplasty can significantly add to the difficulty of the operation. This paper provides tips for patient positioning, port placement, robot docking, and intraoperative dissection and repair in patients with the difficult situations of obesity, large floppy liver, difficult to reflect colon (transmesenteric pyeloplasty), crossing vessels, large calculi, and previous attempts at ureteropelvic junction repair. Techniques presented in this paper may aid in the successful completion of robotic assisted pyeloplasty in the face of the difficult situations noted above.

scholarly journals Concomitant management of renal calculi and recurrent ureteropelvic junction obstruction with percutaneous nephrolithotomy and antegrade balloon dilation

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052091125
Author(s):  
Chunxiao Wei ◽  
Tengteng Wang ◽  
Shaoan Chen ◽  
Xiangbin Ren ◽  
Xiude Chen
Keyword(s):  
Renal Function ◽  
Success Rate ◽  
Percutaneous Nephrolithotomy ◽  
Ureteropelvic Junction Obstruction ◽  
Balloon Dilation ◽  
Renal Calculi ◽  
Ureteropelvic Junction ◽  
High Grade ◽  
Free Status ◽  
Grade Iii

Objective This study aimed to present our experience of concomitant management of renal calculi and recurrent ureteropelvic junction obstruction (UPJO) with percutaneous nephrolithotomy (PCNL) and antegrade balloon dilation. Methods We retrospectively reviewed 31 patients who underwent PCNL and antegrade balloon dilation for treatment of renal calculi and recurrent UPJO. The inclusion criterion was the presence of UPJO after failed pyeloplasty with ipsilateral renal calculi. Success was defined as achievement of both symptomatic and radiographic resolution of any stones and obstruction. Results All operations were successful without grade III or higher postoperative complications. A stone-free status was observed in all patients and the overall success rate of the procedure was 87.1% (27/31). The success rate of the procedure was significantly higher in patients with mild or moderate preoperative hydronephrosis (96%) than in those with high-grade preoperative hydronephrosis (50%). Moreover, the success rate of the procedure was lower in patients with poor preoperative renal function (0%) than in those with good or moderate renal function (93.1%). Conclusion Combined PCNL and antegrade balloon dilation management represents a safe and effective approach for patients with renal calculi and recurrent UPJO after failed pyeloplasty.

scholarly journals Evaluation of the clinical value of retroperitoneal laparoscopic pyeloplasty in the treatment of ureteropelvic junction obstruction in infants

Medicine ◽  
2019 ◽  
Vol 98 (40) ◽  
pp. e17308 ◽  
Author(s):  
Shilin Zhang ◽  
Jierong Li ◽  
Chunjing Li ◽  
Xumin Xie ◽  
Fengsheng Ling ◽  
...  
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Clinical Value
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