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Related Experiment Videos

Outpatient laparoscopic pyeloplasty.

Mauricio Rubinstein1, Antonio Finelli, Alireza Moinzadeh

  • 1Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Urology
|July 5, 2005
PubMed
Summary

Ambulatory laparoscopic pyeloplasty is feasible and safe for select patients with ureteropelvic junction obstruction. This minimally invasive approach offers excellent outcomes without complications or recurrence.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic pyeloplasty aims to achieve outcomes similar to open surgery with reduced morbidity.
  • Assessing the feasibility of outpatient procedures is crucial for optimizing patient care and resource utilization.

Purpose of the Study:

  • To evaluate the safety and feasibility of performing laparoscopic pyeloplasty on an outpatient basis.
  • To determine if ambulatory laparoscopic pyeloplasty can replicate the functional success of traditional open procedures.

Main Methods:

  • Six patients with primary ureteropelvic junction obstruction meeting specific criteria underwent outpatient laparoscopic pyeloplasty.
  • Procedures were completed by midday, with patients managed on oral analgesics and discharged without drains.

Related Experiment Videos

  • All patients received a double-J ureteral stent prior to surgery.

    • Main Results:

    • All six patients successfully completed the laparoscopic dismembered pyeloplasty with no intraoperative or postoperative complications.
    • The mean hospital stay was 359 minutes, and no readmissions occurred.
    • Long-term follow-up (mean 38.4 months) showed no recurrence of obstruction, confirmed by imaging.

    Conclusions:

    • Ambulatory laparoscopic pyeloplasty is a feasible and safe option for carefully selected patients.
    • This approach successfully reproduces the functional results of open pyeloplasty while minimizing patient recovery time.