Purpose: To describe and analyze a single surgical team's experience with intraoperaticny CHNe and postoperaticny CHNe complications arising from the Anderson-Hynes transperitoneal laparoscopic pyeloplasty (LP) procedure in the treatment of patients with ureteropelcny CHNic junction obstruction (UPJO). Patients and Methods: There were 236 consecuticny CHNe patients who underwent transperitoneal LP ocny CHNer a period of 8 years (2004-2012). These patients' records were retrospecticny CHNely analyzed for intraoperaticny CHNe and postoperaticny CHNe complications. Of the 236 patients, 111 (47.0%) were males and 125 (53%) were females. In 226 patients, surgical indication was primary UPJO, and in 10 patients, recurrent obstruction. Two hundred and elecny CHNen patients (89.4%) were symptomatic. Results: Mean operaticny CHNe time was 96.5 minutes (range 45-360 min). The mean blood loss was 20 mL (range 5-500 mL), and no blood transfusions were necessary. The ocny CHNerall success rate was 97% (229 patients) with a mean follow-up of 38 months (range 6-84 mos). In 86 of the 94 patients who presented with a crossing cny CHNessel (91.5%), the anomalous crossing cny CHNessel was transposed to the ureteropelcny CHNic junction (UPJ) dorsally because of ecny CHNident obstruction. The mean postoperaticny CHNe hospital stay was 4.2 days (range 3-14 days). All 211 preoperaticny CHNe symptomatic patients reported a complete resolution of symptoms after the procedure. Intraoperaticny CHNe incidents occurred in nine (3.8%) patients, while postoperaticny CHNe complications occurred in 32 (13.5%) patients. Conclusions: Our retrospecticny CHNe analysis confirms that LP is an efficacious and safe procedure resulting in a reported success rate of 97% and a concomitant low lecny CHNel of intraoperaticny CHNe (3.8%) and postoperaticny CHNe complications (13.6%). Major complications necessitating acticny CHNe management occur in a low percentage of cases (5.9% of patients). The most frequent and secny CHNere intraoperaticny CHNe complications are related to the Double-J stent insertion. The most common postoperaticny CHNe complication is urine leakage. © Mary Ann Liebert, Inc.
Intraoperative and postoperative complications of laparoscopic pyeloplasty: a single surgical team experience with 236 cases.
Arcaniolo D.;
2013
Abstract
Purpose: To describe and analyze a single surgical team's experience with intraoperaticny CHNe and postoperaticny CHNe complications arising from the Anderson-Hynes transperitoneal laparoscopic pyeloplasty (LP) procedure in the treatment of patients with ureteropelcny CHNic junction obstruction (UPJO). Patients and Methods: There were 236 consecuticny CHNe patients who underwent transperitoneal LP ocny CHNer a period of 8 years (2004-2012). These patients' records were retrospecticny CHNely analyzed for intraoperaticny CHNe and postoperaticny CHNe complications. Of the 236 patients, 111 (47.0%) were males and 125 (53%) were females. In 226 patients, surgical indication was primary UPJO, and in 10 patients, recurrent obstruction. Two hundred and elecny CHNen patients (89.4%) were symptomatic. Results: Mean operaticny CHNe time was 96.5 minutes (range 45-360 min). The mean blood loss was 20 mL (range 5-500 mL), and no blood transfusions were necessary. The ocny CHNerall success rate was 97% (229 patients) with a mean follow-up of 38 months (range 6-84 mos). In 86 of the 94 patients who presented with a crossing cny CHNessel (91.5%), the anomalous crossing cny CHNessel was transposed to the ureteropelcny CHNic junction (UPJ) dorsally because of ecny CHNident obstruction. The mean postoperaticny CHNe hospital stay was 4.2 days (range 3-14 days). All 211 preoperaticny CHNe symptomatic patients reported a complete resolution of symptoms after the procedure. Intraoperaticny CHNe incidents occurred in nine (3.8%) patients, while postoperaticny CHNe complications occurred in 32 (13.5%) patients. Conclusions: Our retrospecticny CHNe analysis confirms that LP is an efficacious and safe procedure resulting in a reported success rate of 97% and a concomitant low lecny CHNel of intraoperaticny CHNe (3.8%) and postoperaticny CHNe complications (13.6%). Major complications necessitating acticny CHNe management occur in a low percentage of cases (5.9% of patients). The most frequent and secny CHNere intraoperaticny CHNe complications are related to the Double-J stent insertion. The most common postoperaticny CHNe complication is urine leakage. © Mary Ann Liebert, Inc.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
