Discussion
The ideal treatment option for UPJO would be minimally invasive with a low complication and failure rate. Management of UPJ stenosis has been significantly influenced by many minimally invasive techniques, including percutaneous ureteroscopic, endopyelotomy, cutting transvesical balloon dilatation as well as laparoscopic pyeloplasty. All of these procedures were introduced with the aim to obtain the standard of open dismembered pyeloplasty providing long-term success rates between 93 and 97%, with a minimal surgical trauma for the patients12.
Laparoscopic pyeloplasty is a minimally invasive option in the treatment of UPJO which was developed in the early 1990s and after an initial period of development, actually it can duplicate …show more content…
13 reported a success rate in 97.7% of the patients, value that perfectly reflects the results obtained after open surgery, with an incidence of complications of 2%. In this study, complete successful rate was registered in 96.1% of patients of open group, while in laparoscopic group was 94.2%.
In 2006, Eden17 published a review about the results associated with the minimal invasive treatment of UPJO. In the laparoscopic series, he reported no significant differences between the retroperitoneal and transperitoneal approach, noting that with a transperitoneal technique there is the advantage to have a better visualization of anatomy and greater workspace to suture. Moreover, he pointed that in contrast with the 3–11% transfusion rate following endourologic UPJO incision, transfusion following laparoscopic pyeloplasty is rare.
In our study, 51 patients underwent OP and another 51 patients underwent LP for UPJO. The mean operative time was 153.2 ± 42 min in open group vs. 219.8 ± 46 min for laparoscopic group is in accordance with literature18,19,20,21.
The mean hospital stay was 9.8 ± 7.3 days in open group vs. 2.7 ±1.9 days in laparoscopic group which is comparable with
The ideal treatment option for UPJO would be minimally invasive with a low complication and failure rate. Management of UPJ stenosis has been significantly influenced by many minimally invasive techniques, including percutaneous ureteroscopic, endopyelotomy, cutting transvesical balloon dilatation as well as laparoscopic pyeloplasty. All of these procedures were introduced with the aim to obtain the standard of open dismembered pyeloplasty providing long-term success rates between 93 and 97%, with a minimal surgical trauma for the patients12.
Laparoscopic pyeloplasty is a minimally invasive option in the treatment of UPJO which was developed in the early 1990s and after an initial period of development, actually it can duplicate …show more content…
13 reported a success rate in 97.7% of the patients, value that perfectly reflects the results obtained after open surgery, with an incidence of complications of 2%. In this study, complete successful rate was registered in 96.1% of patients of open group, while in laparoscopic group was 94.2%.
In 2006, Eden17 published a review about the results associated with the minimal invasive treatment of UPJO. In the laparoscopic series, he reported no significant differences between the retroperitoneal and transperitoneal approach, noting that with a transperitoneal technique there is the advantage to have a better visualization of anatomy and greater workspace to suture. Moreover, he pointed that in contrast with the 3–11% transfusion rate following endourologic UPJO incision, transfusion following laparoscopic pyeloplasty is rare.
In our study, 51 patients underwent OP and another 51 patients underwent LP for UPJO. The mean operative time was 153.2 ± 42 min in open group vs. 219.8 ± 46 min for laparoscopic group is in accordance with literature18,19,20,21.
The mean hospital stay was 9.8 ± 7.3 days in open group vs. 2.7 ±1.9 days in laparoscopic group which is comparable with