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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Laparoscopic pyeloplasty: our new gold standard
Stephanie J Symons1, Parag S Bhirud, Vikas Jain
1Department of Urology, Muljibhai Patel Urological Hospital, Gujarat, India.
Journal of Endourology
|February 6, 2009
Summary
Laparoscopic pyeloplasty is a safe and effective minimally invasive treatment for ureteropelvic junction obstruction (UPJO). This procedure offers excellent short-to-medium term success rates, making it the preferred surgical option at our institution.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Laparoscopic pyeloplasty is an established minimally invasive alternative to open surgery for ureteropelvic junction obstruction (UPJO).
- Previous studies report medium-term success rates exceeding 90%, comparable to open surgical methods.
Purpose of the Study:
- To present the comprehensive experience with laparoscopic pyeloplasty at our institution.
- To evaluate the safety and efficacy of this minimally invasive approach for UPJO management.
Main Methods:
- A retrospective review of all patients who underwent laparoscopic pyeloplasty was conducted.
- Data collected included operative time, hospital stay, intraoperative findings, complications, and follow-up outcomes.
Main Results:
- 118 patients underwent laparoscopic pyeloplasty between July 2001 and March 2008.
- Mean operative time was 205 minutes, mean hospital stay was 4.7 days, and 94.5% of patients were obstruction-free at follow-up (mean 12.38 months).
- No major complications were reported.
Conclusions:
- Laparoscopic pyeloplasty is a safe and effective treatment for UPJO.
- The procedure is versatile and suitable for most UPJO cases.
- Laparoscopic pyeloplasty has become the gold standard surgical management for UPJO at our center.
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