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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 15, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Laparoscopic pyeloplasty.

I A Cheema, R P Manecksha, R Flynn

    Irish Medical Journal
    |March 13, 2010
    PubMed
    Summary
    This summary is machine-generated.

    Transperitoneal laparoscopic pyeloplasty effectively treats pelvi-ureteric junction obstruction. This minimally invasive approach offers comparable outcomes to open surgery with reduced postoperative complications.

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    Published on: November 22, 2019

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    Last Updated: Jun 15, 2026

    Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
    03:57

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    Published on: July 8, 2025

    Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
    06:39

    Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

    Published on: November 22, 2019

    Area of Science:

    • Urology
    • Minimally Invasive Surgery
    • Surgical Outcomes

    Background:

    • Pelvi-ureteric junction (PUJ) obstruction is a common cause of pediatric and adult kidney issues.
    • Traditional open pyeloplasty has been the gold standard, but laparoscopic techniques are gaining traction.
    • This study evaluates the initial experience with transperitoneal laparoscopic pyeloplasty for PUJ obstruction.

    Discussion:

    • Transperitoneal laparoscopic pyeloplasty demonstrates a high success rate (87%) in providing symptomatic relief and resolving obstruction.
    • Complications, such as anastomotic leakage, were manageable with percutaneous drainage and prolonged stenting.
    • The procedure showed no intraoperative complications, transfusions, or need for conversion to open surgery.

    Key Insights:

    • Mean operative time was 133 minutes with minimal blood loss (45 ml).
    • Postoperative hospital stay averaged 3.4 days, significantly lower than open procedures.
    • Recurrence rates were 7%, with 5.5% having persistent obstructive renograms despite symptomatic relief.

    Outlook:

    • Laparoscopic pyeloplasty is a viable alternative to open surgery for PUJ obstruction.
    • Further long-term follow-up is needed to assess durability and late complications.
    • This technique may offer decreased postoperative morbidity and faster recovery for patients.