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SHR
Neuro
Cancer
Cardio
Lipid
Metab
Microb
Traumann, M; Kluth, LA; Schmid, M; Meyer, C; Schwaiger, B; Rosenbaum, C; Schriefer, P; Fisch, M; Dahlem, R; Seiler, D; Ahyai, S; Haese, A; Chun, FK.
[Robot-assisted laparoscopic pyeloplasty in adults: Excellent long-term results of primary pyeloplasty].
Urologe A. 2015; 54(5):703-8
Doi: 10.1007/s00120-014-3654-6
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Ahyai Sascha
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- Abstract:
- PURPOSE: With the development of the robot-assisted surgical technique, robot-assisted pyeloplasty (RAP) has become established as an alternative to open and laparoscopic surgery. Currently there are only a few single-center studies with larger numbers of cases and long-term results. The aim of this study was to investigate perioperative and long-term postoperative success rates of Anderson-Hynes robot-assisted pyeloplasty (RAP) at a single center. MATERIALS AND METHODS: We retrospectively reviewed our RAP experience of 61 patients performed by two surgeons between 2004 and 2013 regarding operating time, length of hospital stay, perioperative complication, and success. Overall success was measured in terms of necessary redo pyeloplasty. We also identified patients with temporary stent placement due to symptomatic hydronephrosis or with further obstruction in diuretic renography. RESULTS: Median age, operating time, and follow-up were 33 years, 195 min, and 64 months, respectively. No conversion to open procedure was necessary. The success rate was 98% (n=60) with 1 patient undergoing open redo pyeloplasty due to a recurrent stenosis. Temporary stent placement was required in 3 patients due to pyelonephritis and dilatation. CONCLUSION: Satisfying long-term success rates including low complication rates of RAP were obtained in this study. RAP presents a safe and standardized procedure for symptomatic ureteropelvic junction obstruction.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult - administration & dosage
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Female - administration & dosage
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Humans - administration & dosage
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Kidney Pelvis - pathology, surgery
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Laparoscopy - adverse effects, methods
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Longitudinal Studies - administration & dosage
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Male - administration & dosage
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Nephrectomy - adverse effects, methods
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Robotic Surgical Procedures - adverse effects, methods
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Ureteral Obstruction - pathology, surgery
- Find related publications in this database (Keywords)
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Treatment outcome
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Primary pyeloplasty
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Ureteropelvic junction obstruction
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Renal pelvis outlet stenosis
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Surgical procedures, minimally invasive