Laparoscopic pyeloplasty: Current status

Takeshi Inagaki, Koon H. Rha, Albert M. Ong, Louis R. Kavoussi, Thomas W. Jarrett

Research output: Contribution to journalArticle

194 Citations (Scopus)

Abstract

OBJECTIVE: To review current publications and report our results and long-term follow-up of laparoscopic transperitoneal pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. PATIENTS AND METHODS: In all, 147 laparoscopic transperitoneal pyeloplasties were performed between August 1993 and November 2000 (mean patient age 35.7 years, range 10-85). All patients were diagnosed with PUJ obstruction by symptoms and intravenous urography, radionuclide diuretic renography or ultrasonography. An Anderson-Hynes dismembered pyeloplasty (106), Y-V plasty (28), Fenger plasty (11) and others (two) were used, according to the intraoperative findings. Twenty-five patients had secondary obstruction, having had previous surgery to the PUJ. The mean (range) follow-up was 24 (3-84) months; all patients were followed clinically and radiologically. RESULTS: The mean operative duration time was 246 (100-480) min and estimated blood loss was 158 ml. Crossing vessels were identified in 80 cases. The success rate for all, primary and secondary patients was 95%, 98% and 84%, respectively. With one exception, all failures occurred within 6 months. Twenty-one patients (22 renal units) had simultaneous laparoscopic pyeloplasty and lithotomy; they were treated successfully and all have an intact PUJ, and 20 renal units (90%) were stone-free. The overall complication rate was 8.8%. CONCLUSIONS: This series has comparable success rates to those of open pyeloplasty and the morbidity was minimal. Laparoscopic pyeloplasty may soon become the standard operation for PUJ obstruction, especially with crossing vessels.

Original languageEnglish
Pages (from-to)102-105
Number of pages4
JournalBJU International, Supplement
Volume95
Issue number2
Publication statusPublished - 2005 Mar 1

Fingerprint

Radioisotope Renography
Kidney
Urography
Operative Time
Diuretics
Radioisotopes
Ultrasonography
Morbidity
Bilateral Multicystic renal dysplasia

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Inagaki, T., Rha, K. H., Ong, A. M., Kavoussi, L. R., & Jarrett, T. W. (2005). Laparoscopic pyeloplasty: Current status. BJU International, Supplement, 95(2), 102-105.
Inagaki, Takeshi ; Rha, Koon H. ; Ong, Albert M. ; Kavoussi, Louis R. ; Jarrett, Thomas W. / Laparoscopic pyeloplasty : Current status. In: BJU International, Supplement. 2005 ; Vol. 95, No. 2. pp. 102-105.
@article{ea17255a0d584a69abc074de4c6ae385,
title = "Laparoscopic pyeloplasty: Current status",
abstract = "OBJECTIVE: To review current publications and report our results and long-term follow-up of laparoscopic transperitoneal pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. PATIENTS AND METHODS: In all, 147 laparoscopic transperitoneal pyeloplasties were performed between August 1993 and November 2000 (mean patient age 35.7 years, range 10-85). All patients were diagnosed with PUJ obstruction by symptoms and intravenous urography, radionuclide diuretic renography or ultrasonography. An Anderson-Hynes dismembered pyeloplasty (106), Y-V plasty (28), Fenger plasty (11) and others (two) were used, according to the intraoperative findings. Twenty-five patients had secondary obstruction, having had previous surgery to the PUJ. The mean (range) follow-up was 24 (3-84) months; all patients were followed clinically and radiologically. RESULTS: The mean operative duration time was 246 (100-480) min and estimated blood loss was 158 ml. Crossing vessels were identified in 80 cases. The success rate for all, primary and secondary patients was 95{\%}, 98{\%} and 84{\%}, respectively. With one exception, all failures occurred within 6 months. Twenty-one patients (22 renal units) had simultaneous laparoscopic pyeloplasty and lithotomy; they were treated successfully and all have an intact PUJ, and 20 renal units (90{\%}) were stone-free. The overall complication rate was 8.8{\%}. CONCLUSIONS: This series has comparable success rates to those of open pyeloplasty and the morbidity was minimal. Laparoscopic pyeloplasty may soon become the standard operation for PUJ obstruction, especially with crossing vessels.",
author = "Takeshi Inagaki and Rha, {Koon H.} and Ong, {Albert M.} and Kavoussi, {Louis R.} and Jarrett, {Thomas W.}",
year = "2005",
month = "3",
day = "1",
language = "English",
volume = "95",
pages = "102--105",
journal = "BJU International, Supplement",
issn = "1465-5101",
publisher = "Wiley-Blackwell",
number = "2",

}

Inagaki, T, Rha, KH, Ong, AM, Kavoussi, LR & Jarrett, TW 2005, 'Laparoscopic pyeloplasty: Current status', BJU International, Supplement, vol. 95, no. 2, pp. 102-105.

Laparoscopic pyeloplasty : Current status. / Inagaki, Takeshi; Rha, Koon H.; Ong, Albert M.; Kavoussi, Louis R.; Jarrett, Thomas W.

In: BJU International, Supplement, Vol. 95, No. 2, 01.03.2005, p. 102-105.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Laparoscopic pyeloplasty

T2 - Current status

AU - Inagaki, Takeshi

AU - Rha, Koon H.

AU - Ong, Albert M.

AU - Kavoussi, Louis R.

AU - Jarrett, Thomas W.

PY - 2005/3/1

Y1 - 2005/3/1

N2 - OBJECTIVE: To review current publications and report our results and long-term follow-up of laparoscopic transperitoneal pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. PATIENTS AND METHODS: In all, 147 laparoscopic transperitoneal pyeloplasties were performed between August 1993 and November 2000 (mean patient age 35.7 years, range 10-85). All patients were diagnosed with PUJ obstruction by symptoms and intravenous urography, radionuclide diuretic renography or ultrasonography. An Anderson-Hynes dismembered pyeloplasty (106), Y-V plasty (28), Fenger plasty (11) and others (two) were used, according to the intraoperative findings. Twenty-five patients had secondary obstruction, having had previous surgery to the PUJ. The mean (range) follow-up was 24 (3-84) months; all patients were followed clinically and radiologically. RESULTS: The mean operative duration time was 246 (100-480) min and estimated blood loss was 158 ml. Crossing vessels were identified in 80 cases. The success rate for all, primary and secondary patients was 95%, 98% and 84%, respectively. With one exception, all failures occurred within 6 months. Twenty-one patients (22 renal units) had simultaneous laparoscopic pyeloplasty and lithotomy; they were treated successfully and all have an intact PUJ, and 20 renal units (90%) were stone-free. The overall complication rate was 8.8%. CONCLUSIONS: This series has comparable success rates to those of open pyeloplasty and the morbidity was minimal. Laparoscopic pyeloplasty may soon become the standard operation for PUJ obstruction, especially with crossing vessels.

AB - OBJECTIVE: To review current publications and report our results and long-term follow-up of laparoscopic transperitoneal pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. PATIENTS AND METHODS: In all, 147 laparoscopic transperitoneal pyeloplasties were performed between August 1993 and November 2000 (mean patient age 35.7 years, range 10-85). All patients were diagnosed with PUJ obstruction by symptoms and intravenous urography, radionuclide diuretic renography or ultrasonography. An Anderson-Hynes dismembered pyeloplasty (106), Y-V plasty (28), Fenger plasty (11) and others (two) were used, according to the intraoperative findings. Twenty-five patients had secondary obstruction, having had previous surgery to the PUJ. The mean (range) follow-up was 24 (3-84) months; all patients were followed clinically and radiologically. RESULTS: The mean operative duration time was 246 (100-480) min and estimated blood loss was 158 ml. Crossing vessels were identified in 80 cases. The success rate for all, primary and secondary patients was 95%, 98% and 84%, respectively. With one exception, all failures occurred within 6 months. Twenty-one patients (22 renal units) had simultaneous laparoscopic pyeloplasty and lithotomy; they were treated successfully and all have an intact PUJ, and 20 renal units (90%) were stone-free. The overall complication rate was 8.8%. CONCLUSIONS: This series has comparable success rates to those of open pyeloplasty and the morbidity was minimal. Laparoscopic pyeloplasty may soon become the standard operation for PUJ obstruction, especially with crossing vessels.

UR - http://www.scopus.com/inward/record.url?scp=14644445147&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14644445147&partnerID=8YFLogxK

M3 - Article

C2 - 15720343

AN - SCOPUS:14644445147

VL - 95

SP - 102

EP - 105

JO - BJU International, Supplement

JF - BJU International, Supplement

SN - 1465-5101

IS - 2

ER -

Inagaki T, Rha KH, Ong AM, Kavoussi LR, Jarrett TW. Laparoscopic pyeloplasty: Current status. BJU International, Supplement. 2005 Mar 1;95(2):102-105.