Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study
INTRODUCTION: Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in diffi...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Polish Urological Association
2015
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/46205/ http://psasir.upm.edu.my/id/eprint/46205/1/Role%20of%20laparoscopy%20in%20ureteropelvic%20junction%20obstruction%20with%20concomitant%20pathology%20a%20case%20series%20study.pdf |
| _version_ | 1848850616175034368 |
|---|---|
| author | Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian |
| author_facet | Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian |
| author_sort | Fahmy, Omar |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | INTRODUCTION:
Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy.
MATERIAL AND METHODS:
Six patients (4 females and 2 males) with an average age of 44 and a range of 27 to 60 years old, were diagnosed for UPJO. Three were on the left side and 3 on the right side. In addition to UPJO, 2 patients had renal stones, one patient had both renal ptosis and an umbilical hernia, 3 patients had a para-pelvic cyst, hepatomegaly and malrotated kidney, respectively. All patients had a preoperative ultrasound, CT or IVU, and a renal isotope scan. Laparoscopic pyeloplasty was performed according to the dismembered Anderson-Hynes technique with auxiliary maneuver, according to the pathology.
RESULTS:
All patients were treated successfully for UPJO and the concomitant pathologies, except hepatomegaly and malrotation. Mean operative time was 125 minutes and estimated blood loss was <50 ml.
CONCLUSIONS:
Laparoscopic pyeloplasty can be performed in difficult situations provided that the surgeon has enough experience with laparoscopy. |
| first_indexed | 2025-11-15T10:09:07Z |
| format | Article |
| id | upm-46205 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T10:09:07Z |
| publishDate | 2015 |
| publisher | Polish Urological Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-462052018-03-30T14:00:04Z http://psasir.upm.edu.my/id/eprint/46205/ Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian INTRODUCTION: Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy. MATERIAL AND METHODS: Six patients (4 females and 2 males) with an average age of 44 and a range of 27 to 60 years old, were diagnosed for UPJO. Three were on the left side and 3 on the right side. In addition to UPJO, 2 patients had renal stones, one patient had both renal ptosis and an umbilical hernia, 3 patients had a para-pelvic cyst, hepatomegaly and malrotated kidney, respectively. All patients had a preoperative ultrasound, CT or IVU, and a renal isotope scan. Laparoscopic pyeloplasty was performed according to the dismembered Anderson-Hynes technique with auxiliary maneuver, according to the pathology. RESULTS: All patients were treated successfully for UPJO and the concomitant pathologies, except hepatomegaly and malrotation. Mean operative time was 125 minutes and estimated blood loss was <50 ml. CONCLUSIONS: Laparoscopic pyeloplasty can be performed in difficult situations provided that the surgeon has enough experience with laparoscopy. Polish Urological Association 2015-12 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46205/1/Role%20of%20laparoscopy%20in%20ureteropelvic%20junction%20obstruction%20with%20concomitant%20pathology%20a%20case%20series%20study.pdf Fahmy, Omar and El-Fayoumi, Abdel Rahman and Gakis, Georgios and Amend, Bastian and Mohd Ghani @ Mamat, Khairul Asri and Stenzl, Arnulf and Schwentner, Christian (2015) Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study. Central European Journal of Urology, 68 (4). pp. 466-470. ISSN 2080-4806; ESSN: 2080-4873 10.5173/ceju.2015.627 |
| spellingShingle | Fahmy, Omar El-Fayoumi, Abdel Rahman Gakis, Georgios Amend, Bastian Mohd Ghani @ Mamat, Khairul Asri Stenzl, Arnulf Schwentner, Christian Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title | Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title_full | Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title_fullStr | Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title_full_unstemmed | Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title_short | Role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| title_sort | role of laparoscopy in ureteropelvic junction obstruction with concomitant pathology: a case series study |
| url | http://psasir.upm.edu.my/id/eprint/46205/ http://psasir.upm.edu.my/id/eprint/46205/ http://psasir.upm.edu.my/id/eprint/46205/1/Role%20of%20laparoscopy%20in%20ureteropelvic%20junction%20obstruction%20with%20concomitant%20pathology%20a%20case%20series%20study.pdf |