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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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: May 23, 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

LESS pyeloplasty & other reconstructive procedures.

Humberto K Laydner1, José Alexandre P Pedrosa, Rakesh Khanna

  • 1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA.

Archivos Espanoles De Urologia
|April 13, 2012
PubMed
Summary
This summary is machine-generated.

Laparoendoscopic single-site (LESS) reconstructive urological surgery is feasible and safe for various procedures. However, significant laparoscopic experience is recommended due to the technical complexity of LESS reconstructive surgery.

Related Experiment Videos

Last Updated: May 23, 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

Area of Science:

  • Minimally Invasive Urological Surgery
  • Surgical Innovation
  • Laparoscopic Techniques

Background:

  • Laparoendoscopic single-site (LESS) surgery offers potential benefits in urology.
  • Evidence on LESS reconstructive procedures is emerging.
  • Standard laparoscopy is the established approach for many reconstructive urological surgeries.

Purpose of the Study:

  • To review and synthesize existing literature on laparoendoscopic single-site (LESS) pyeloplasty and other reconstructive urological procedures.
  • To evaluate the safety and efficacy of LESS reconstructive urological surgery.
  • To compare techniques and outcomes of various LESS reconstructive procedures.

Main Methods:

  • Comprehensive literature search for original articles on LESS urological reconstructive procedures.
  • Analysis of 28 retrospective studies involving 146 patients.
  • Detailed outline of techniques and clinical outcomes, focusing on safety and efficacy.

Main Results:

  • Procedures included pyeloplasty (91), ureterolithotomy (44), and others.
  • Mean operative time for LESS pyeloplasty was 215 minutes; for ureterolithotomy, 186 minutes.
  • Mean length of stay was 2.7 days for pyeloplasty and 3.8 days for ureterolithotomy, with low estimated blood loss.

Conclusions:

  • Urological LESS reconstructive surgery demonstrates feasibility and safety across multiple procedures.
  • A strong foundation in standard laparoscopy is crucial before undertaking LESS reconstructive surgery due to its complexity.
  • Future research should focus on prospective, randomized trials comparing LESS with conventional laparoscopy.