1. Laparoscopic anterior y-v pyeloplasty: a valuable treatment option in patients with small or intrarenal pelvis
- Author
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Romuald Zdrojowy, Jarosław Kasprzak, Tomasz Szydełko, and Wojciech Apoznański
- Subjects
Adult ,medicine.medical_specialty ,Pyeloplasty ,Adolescent ,medicine.medical_treatment ,Surgical Flaps ,Young Adult ,medicine ,Humans ,In patient ,Kidney Pelvis ,Laparoscopy ,Pelvis ,Foley ,medicine.diagnostic_test ,business.industry ,Suture Techniques ,Treatment options ,Middle Aged ,Surgery ,medicine.anatomical_structure ,business ,Renal pelvis ,Ureteral Obstruction - Abstract
The aim of the study was to describe the technique of modified laparoscopic Foley Y-V pyeloplasty-anterior Y-V plasty and the results of the operation in the authors' material. In the modified operation, a V-shaped flap is created from the anterior wall of the renal pelvis. Thus two lines of sutures are located on the anterior, easily accessible wall of the renal pelvis. Thirty-six patients were operated on using this technique from May 2005 to January 2009. One patient did not turn up for the follow-up. Complete success was observed in 34 of 35 patients (97.1%). The mean follow-up time was 24 (4–43) months. The mean operative time was 160 minutes. We did not observe any serious complications in the postoperative period. Our results seem to indicate that the anterior Y-V plasty may constitute a reasonable treatment option for patients with small or intrarenal pelvis and no dorsally crossing vessels. more...
- Published
- 2010