Five years’ experience of laparoscopic-assisted dismembered pyeloplasty versus open dismembered pyeloplasty

We present our long-term experience with laparoscopic-assisted pyeloplasty in the treatment of UPJO, to evaluate the feasibility, safety, and long-term outcome of this technique in children. Patients and methods In total, 40 children with UPJO requiring operative repair were included in the study. Twenty patients with UPJO were randomly selected to undergo open dismembered pyeloplasty (group A) and the remaining 20 patients to undergo laparoscopic-assisted dismembered pyeloplasty (group B) at the Pediatric Surgery Department between January 2013 and December 2017. All patients were followed-up for 5 years postoperatively. The outcome was measured by the ultrasonography and diuretic renography with resolution of obstructive symptoms. Results The mean laparoscopic procedure time was 25 min. There was a slight relationship between age and operative time. No major perioperative complications occurred in any cases. Renal pelvic anterior–posterior diameter at postoperative ultrasonography significantly decreased (P
Source: Annals of Pediatric Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research