Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2017  |  Volume : 44  |  Issue : 2  |  Page : 95-99

Laparoscopic pyeloplasty in children with ureteropelvic junction obstruction associated with crossing renal vessels


Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and M.R.C, Belagavi, Karnataka, India

Correspondence Address:
Rajendra B Nerli
Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and M.R.C, Nehru Nagar, Belagavi - 590 010, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jss.JSS_24_17

Rights and Permissions

Introduction: Ureteropelvic junction obstruction (UPJO) is usually intrinsic; however, 15%–52% may be associated with crossing renal/lower pole vessels. Investigators have demonstrated that the presence of crossing vessels decreased the success rate of antegrade endopyelotomy. We prospectively reviewed our series of laparoscopic pyeloplasty in children and analyzed as to whether crossing vessels affected the morbidity and outcome. Methods: Children <18 years of age undergoing laparoscopic pyeloplasty for UPJO were prospectively included in the study. Pyeloplasty was performed anterior to the vessels, and the anastomosis was placed adequately distal to the crossing vessel. Children were followed up in the postoperative period for urinary tract infection, and a DTPA renogram was performed after 3 months in all. Results: Twenty (15.74%) children had crossing renal/lower pole vessels associated with UPJO. The mean age of these children was 11.0 ± years. The mean operating time was 96.15 ± 12.54 min as compared to 76.35 ± 8.16 min in children with UPJO alone. The mean blood loss was 31.50 ± 6.03 cc as compared to 29.56 ± 4.50 cc in children with UPJO alone. The mean postoperative hospital stay 51.50 h and 100% of the children showed improvement of renal function as well as drainage on the postoperative diuretic renogram done after 12 weeks of surgery. Conclusions: Crossing renal/lower polar is associated with UPJO in about 15% of children undergoing laparoscopic pyeloplasty. The presence of crossing vessels significantly prolonged operating time; however, the blood loss, postoperative hospital stay, and short-term outcomes were similar to children with UPJO alone.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1680    
    Printed67    
    Emailed0    
    PDF Downloaded152    
    Comments [Add]    

Recommend this journal