keyword
https://read.qxmd.com/read/38545757/feasibility-and-effectiveness-of-repeat-laparoscopic-pyeloplasty-for-recurrent-ureteropelvic-junction-obstruction-in-pediatric-patients
#1
JOURNAL ARTICLE
Qike Xie, Congjun Wang, Cheng Su, Bo Shi, Yong Li, Junqiang Huang, Chao Chen
OBJECTIVE: To assess the outcomes of redo laparoscopic pyeloplasty (RLP) in pediatric patients with recurrent ureteropelvic junction obstruction (UPJO) in contrast to redo open pyeloplasty (ROP). Additionally, evaluate the feasibility and efficacy of RLP as a treatment modality for recurrent UPJO in children. MATERIALS AND METHODS: The data of 44 patients from March 2012 to March 2022 who underwent redo pyeloplasty were retrospectively reviewed. In Group RLP, the children underwent RLP, while ROP was attempted in Group ROP...
March 28, 2024: Journal of Endourology
https://read.qxmd.com/read/38536721/single-port-robot-assisted-pyeloplasty-an-early-comparative-outcomes-analysis
#2
JOURNAL ARTICLE
Francesco Ditonno, Antonio Franco, Celeste Manfredi, Carol L Feng, Eugenio Bologna, Leslie Claire Licari, Ephrem O Olweny, Srinivas Vourganti, Edward E Cherullo, Alexander K Chow, Riccardo Autorino
BACKGROUND: The treatment paradigm for ureteropelvic junction obstruction (UPJO) has shifted towards minimally invasive pyeloplasty. A comparison Single Port (SP) and Multi Port (MP) robot-assisted pyeloplasty (RAP) was performed. METHODS: Data from consecutive patients undergoing SP RAP or MP RAP between January 2021 and September 2023 were collected and analysed. Co-primary outcomes were length of stay (LOS), Defense and Veterans Pain Rating Scale (DVPRS), and narcotic dose...
February 2024: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://read.qxmd.com/read/38532342/treatment-of-ureteropelvic-junction-obstruction-in-patients-with-renal-calculi-via-laparoscopic-pyeloplasty-and-flexible-vacuum-assisted-ureteral-access-sheath-ureteroscopy-a-multicenter-retrospective-observational-study
#3
JOURNAL ARTICLE
Yang Mi, Zhiqin Kang, Jingyu Wang, Liang Yan, Jun Zhang
BACKGROUND: Ureteropelvic junction obstruction (UPJO) is a common obstructive disease of the urinary tract. UPJO patients commonly exhibit coexistent renal calculi. The main aim of therapy is to relieve the obstruction and remove the stones at the same time. METHODS: This retrospective study included 110 patients diagnosed with UPJO coexisting with multiple renal calculi at Shanxi Bethune Hospital and the First Hospital of Shanxi Medical University between March 2016 and January 2022...
March 26, 2024: BMC Urology
https://read.qxmd.com/read/38507157/significant-improvement-in-hydronephrosis-with-pyeloplasty-prior-to-3-months-of-age-in-patients-with-antenatal-severe-hydronephrosis
#4
JOURNAL ARTICLE
Amr Hodhod, Hadeel Eid, Carolina Fermin-Risso, Mutaz Farhad, Jarah Aburezq, Anthony Cook, Bryce Weber
INTRODUCTION: Pyeloplasty is the definitive management of ureteropelvic junction obstruction (UPJO). One of the challenging questions is when to perform pyeloplasty. We studied if improvement post-pyeloplasty in the first 3 months of life could show greater improvement in hydronephrosis than surgery at an older age. PATIENTS AND METHODS: Patients with postnatally diagnosed UPJO and underwent pyeloplasty in the first year of life were retrospectively reviewed. We excluded patients with concomitant vesicoureteral reflux, and patients who had pyeloplasty because of UTI or missed follow-up...
March 20, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38505161/our-experience-with-management-of-congenital-urological-pathologies-in-adulthood-what-pediatric-urologists-should-know-and-adult-urologists-adopt-in-pediatric-practice-experience
#5
JOURNAL ARTICLE
Leon Chertin, Binyamin B Neeman, Jawdat Jaber, Guy Verhovsky, Amnon Zisman, Ariel Mamber, Ilan Kafka, Ala Eddin Natsheh, Dmitry Koulikov, Ofer Z Shenfeld, Boris Chertin, Stanislav Koucherov, Amos Neheman
PURPOSE: To summarize our experience in the management of congenital anomalies in the kidney and urinary tract (CAKUT) in adults. MATERIALS AND METHODS: We conducted a retrospective chart review of all adult patients who underwent primary surgical intervention for CAKUT between 1998 and 2021. RESULTS: The study included 102 patients with a median age of 25 (interquartile range, 23-36.5). Of these, 85 (83.3%) patients reported normal prenatal ultrasound, and the remaining 17 (16...
March 2024: Current Urology
https://read.qxmd.com/read/38502848/retroperitoneoscopic-simple-nondismembered-pyeloplasty-with-da-vinci-si-assistance-to-prevent-alignment-shift
#6
JOURNAL ARTICLE
Go Miyano, Hisae Iida, Yu Ebata, Eri Abe, Haruki Kato, Takafumi Mikami, Junya Ishii, Geoffrey J Lane, Atsuyuki Yamataka, Tadaharu Okazaki
Aims: Retroperitoneoscopic simple nondismembered pyeloplasty (SNDP) with da Vinci Si assistance was developed because of a possible risk for alignment shift after retroperitoneoscopic diamond-shaped bypass pyeloplasty (Diamond-Bypass; DP). Outcomes of SNDP and DP were compared. Materials and Methods: For SNDP, a small longitudinal incision is made on the border of the dilated pelvis and narrowed ureter at the ureteropelvic junction (UPJ). Extending this incision toward the pelvis allows identification of mucosa while maintaining the integrity of surrounding tissues that are so thin and fragile that they will not influence lumen alignment...
March 19, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38494584/can-urinary-caspase-3-and-cytochrome-c-levels-be-used-as-predictive-biomarkers-in-the-management-of-unilateral-antenatal-hydronephrosis
#7
JOURNAL ARTICLE
Seyide Görkem Zeybek, İsmail Selvi, Tayfun Oktar, M İrfan Dönmez, Orhan Ziylan, Şule Seçkin, Canan Küçükgergin
PURPOSE: We aimed to investigate the urinary caspase-3 and cytochrome c levels in patients with unilateral antenatal hydronephrosis and to determine whether changes in urinary biomarker levels could be useful for both predicting the need for surgical intervention due to ureteropelvic junction obstruction (UPJO) and postoperative surgical success. METHODS: Sixty-five children with a history of unilateral antenatal hydronephrosis and postnatal anteroposterior diameter ≥ 10 mm were included in this prospective case-control study between January 2013 and December 2021...
March 18, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38460542/efficacy-of-laparoscopic-pyeloplasty-for-pediatric-hydronephrosis-caused-by-symptomatic-versus-asymptomatic-endogenous-ureteropelvic-junction-obstruction-a-retrospective-analysis
#8
JOURNAL ARTICLE
Guanghui Shao, Zhihao Sun, Zhihang Zhou, Weizhen Wang, Aiwu Li
OBJECTIVE: To retrospectively compare the differences in the surgical efficacy and prognosis of laparoscopic pyeloplasty for hydronephrosis caused by symptomatic versus asymptomatic ureteropelvic junction obstruction (UPJO) in children and determine whether clinical symptoms affect the surgical outcome and prognosis. METHODS: Children who underwent laparoscopic pyeloplasty in our hospital from January 2018 to December 2022 were retrospectively analyzed. The children were divided into symptomatic and asymptomatic groups according to their main symptoms...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38455750/narrative-review-in-learning-curve-and-pediatric-robotic-training-program
#9
REVIEW
Giuseppe Autorino, Mario Mendoza-Sagaon, Maria Grazia Scuderi
BACKGROUND AND OBJECTIVE: Studying learning curve (LC) for robotic procedures and developing an adequate training program are two fundamental steps to standardize robotic procedures. With this aim, we analyzed the literature to study the LCs of different robotic procedures and the availability of standardized training problems. METHODS: The PubMed database was searched in the period from January 1995 to September 2022. Articles presenting LC and potential training programs in the pediatric population were chosen...
February 29, 2024: Translational Pediatrics
https://read.qxmd.com/read/38451241/robotic-pyeloplasty-technological-global-panacea-or-geo-surgical-nightmare
#10
JOURNAL ARTICLE
Panagiotis Nikolinakos, Nikolaos Chatzikrachtis, Ivo Donkov, Elisavet Kotsi, Georgios Antonoglou, Ioannis Alexandrou, Nikolaos Zavras, Joseph M Norris
To the Editor, Pelvi-ureteric junction obstruction (PUJO) is a well-recognised clinical entity characterised by functionally significant impairment of drainage of urine at the level of the pelvi-ureteric junction due to extrinsic or intrinsic obstruction and is encountered both by adult and paediatric urologists alike. Management of PUJO has been surgical historically, and the gold standard has been an open Anderson-Hynes dismembered pyeloplasty. [...].
March 7, 2024: Archivio Italiano di Urologia, Andrologia
https://read.qxmd.com/read/38436826/correction-to-analysis-of-risk-factors-for-stenosis-after-laparoscopic-pyeloplasty-in-the-treatment-of-ureteropelvic-junction-obstruction
#11
Ruilong Chen, Chao Jiang, Xiang Li, Chao Yang, Tengfei Zhu, Yi Wang
No abstract text is available yet for this article.
March 4, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38436578/the-optimal-suture-bite-depth-in-laparoscopic-pyeloplasty-a-comparative-study-in-children
#12
JOURNAL ARTICLE
Shaodong Gu, Hong Luo
Background: Modified Anderson-Hynes pyeloplasty is currently preferred for ureteropelvic junction obstruction (UPJO). Extravasation of urine and anastomotic stenosis are the most common complications after Anderson-Hynes pyeloplasty, which are closely linked with the technique for anastomosis. However, there are currently no clear guidelines for the suture bite depth in suturing the anastomosis during pyeloplasty. Objective: To analyze the optimal suture bite depth in laparoscopic Anderson-Hynes pyeloplasty...
March 5, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38415227/techniques-in-minimally-invasive-transperitoneal-pyeloplasty-a-compilation
#13
JOURNAL ARTICLE
Chiruvella Mallikarjuna, Syed Mohammed Ghouse, Vijay Kumar Sarma Madduri, Mohammed Taif Bendigeri, Bhavatej Enganti, Purnachandra Reddy, Gopal Ramdas Tak
CONTEXT: Minimally invasive management (laparoscopic/robot assisted) is currently the standard of care for managing pelvi ureteric junction obstruction (PUJO). Open techniques of management of PUJO are well described in literature. However, there appears to be relative lack of description of minimally invasive techniques in the literature. OBJECTIVE: This article is aimed at describing in detail, with images, the various techniques and modifications in laparoscopic or robot-assisted management of PUJO...
2024: Urology Annals
https://read.qxmd.com/read/38413450/the-learning-curve-of-robot-assisted-laparoscopic-pyeloplasty-in-children
#14
JOURNAL ARTICLE
Lijun Zhou, Jin Huang, Hua Xie, Fang Chen
To explore the learning curve of robot-assisted laparoscopic pyeloplasty (RALP) in children. The clinical data, surgical information, and postoperative complications of consecutive cases of RALP performed by the same surgeon in Shanghai Children's Hospital from January 2014 to July 2020 were retrospectively analyzed; the surgeon is a senior pediatric urologists who is proficient in laparoscopic pyeloplasty; the data consist of console time (CT), suture method when anastomosing ureteropelvic junction (UPJ), number of stitches (N), anastomosis time per stitch (tn ), the average suture time per stitch (T) = (suture time of first stitch (t1 ) + second stitch (t2 ) + … + tn )/N, postoperative complications, and surgical outcome...
February 28, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38364182/robotic-assisted-laparoscopic-pyeloplasty-in-challenging-cases-of-ureteropelvic-junction-obstruction-in-the-pediatric-population-a-multicenter-review
#15
JOURNAL ARTICLE
Leon Chertin, Guy Verhovsky, Jaudat Jaber, Boris Chertin, Amnon Zisman, Stanislav Kocherov, Amos Neheman
Purpose: To report a multi-institutional international experience in performing robotic pyeloplasty for complicated cases of ureteropelvic junction obstruction (UPJO) in the pediatric population and assess feasibility and outcomes. Materials and Methods: Retrospective chart review of all pediatric patients who underwent robotic-assisted laparoscopic pyeloplasty (RALP) for UPJO in challenging cases between 2013 and 2021 was included. Demographics, perioperative surgical data, complications, and results are described...
February 16, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38345047/robot-assisted-ureteric-reconstructive-surgeries-for-benign-diseases-initial-single-center-experience-with-point-of-technique
#16
JOURNAL ARTICLE
Nikita Shrivastava, Priyank Bhargava, Pritesh Jain, Gautam Ram Choudhary, Rahul Jena, Mahendra Singh, Shivcharan Navriya, Vijay Kumar Sarma Madduri, Deepak Prakash Bhirud, Arjun Singh Sandhu
INTRODUCTION: We present our initial experience with robot-assisted reconstructive surgeries with the Da Vinci Xi robotic system for benign ureteric pathologies. MATERIALS AND METHODS: This is a retrospective review of prospectively collected data of patients who underwent robot-assisted reconstructive procedures for benign diseases of the ureter at our department from April 2018 to November 2022. Demographic and perioperative details were recorded. Patients were followed up and surgical success was evaluated on the basis of symptomatic, functional, and radiological improvement...
February 12, 2024: Urologia
https://read.qxmd.com/read/38340080/incidental-detection-of-rare-vascular-variation-during-pyeloplasty-and-its-clinical-implication-a-case-report
#17
JOURNAL ARTICLE
Deepak Prakash Bhirud, Shashank Shekhar Tripathi, Amit Aggarwal, Mahendra Singh
Crossing vessels is one of the important causes of pelviureteric junction obstruction (PUJO). Accessory lower polar vessels are commonly seen with congenital PUJO, but they are not always the cause of obstruction. We incidentally encountered a variation in the lower polar crossing vessel while doing laparoscopic pyeloplasty in a patient with congenital PUJO. We encountered a right accessory lower polar artery and vein along with a right gonadal artery arising from the accessory right renal artery and right gonadal vein draining into the right lower polar crossing accessory renal vein...
February 9, 2024: Journal of Minimal Access Surgery
https://read.qxmd.com/read/38324220/pediatric-robot-assisted-laparoscopic-pyeloplasty-where-are-we-now
#18
REVIEW
Suhaib Abdulfattah, Sameer Mittal
PURPOSE OF REVIEW: This review aims to provide an in-depth exploration of the recent advancements in robot-assisted laparoscopic pyeloplasty (RALP) and its evolving landscape in the context of infant pyeloplasty, complex genitourinary (GU) anatomy, recurrent ureteropelvic junction (UPJ) obstruction, cost considerations, and the learning curve. RECENT FINDINGS: Recent literature highlights the safety and efficacy of RALP in treating the infant population, patients with complex GU anomalies, and recurrent UPJO which were all traditionally managed using the open approach...
February 7, 2024: Current Urology Reports
https://read.qxmd.com/read/38313960/discussion-of-follow-up-and-treatment-results-of-children-with-high-grade-renal-trauma
#19
JOURNAL ARTICLE
Nurcan Çoşkun, Adnan Abasiyanik
PURPOSE: The aim of the study is to examine the follow-up and treatment results of late renal functions in children with high-grade (Grades 4, 5) renal trauma resulting from blunt abdominal injury. METHODS: The follow-up and treatment reports of 41 patients with renal trauma admitted to our clinic between the years 2005 and 2015 were reviewed retrospectively. RESULTS: Eight of the 41 cases had Grade 1, five had Grade 2, and 12 had Grade 3 renal trauma...
January 2024: Curēus
https://read.qxmd.com/read/38304363/comparison-of-laparoscopic-and-open-pyeloplasty-impact-on-comfort-and-success-a-retrospective-single-center-study
#20
JOURNAL ARTICLE
Nuh Aldemir, İbrahim Üntan, Halil Tosun, Deniz Demirci
Ureteropelvic junction obstruction causes hydronephrosis and may lead to renal parenchymal damage unless timely diagnosed and treated. Although open pyeloplasty is still the gold standard, it needs to be compared with new techniques. In this study, we compared laparoscopic and open pyeloplasty. Data on 113 patients who had undergone surgery between 2008 and 2014 were evaluated retrospectively. Thirty-nine patients had undergone laparoscopic pyeloplasty, and 74 had undergone open pyeloplasty. Ultrasonography was performed at 3 months and scintigraphy at 6 months postoperatively...
April 2023: Acta Clinica Croatica
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