Evaluation of Early and Late Clinical, Radiological and Scintigraphic Datas After Laparoscopic Pyeloplasty in Ureteropelvic Junction Obstruction

Authors : Çiğdem ARSLAN ALICI, Mehmet Surhan ARDA, Umut ALICI, Huseyin ILHAN, TURKEY, Baran TOKAR

Pages : 222-229

Doi:10.20515/otd.1187227

View : 12 | Download : 14

Publication Date : 2023-03-15

Article Type : Research Paper

Abstract :Ureteropelvic junction obstructioninsert ignore into journalissuearticles values(UPJO); causes inadequate transport of urine from the renal pelvis to the ureter. Laparoscopic pyeloplastyinsert ignore into journalissuearticles values(LP); is increasingly preferred in patients with UPJO. We aimed to compare the clinical, radiological and scintigraphic findings before the treatment and the early and late progress of the patients underwent LP for UPJO. Sixty-eight cases underwent LP for UPJOinsert ignore into journalissuearticles values(January 2010-May 2016); were included. Demographic characteristics, clinical findings, intraoperative characteristics, data on preoperative and postoperative clinical, radiological and scintigraphic follow-ups of the cases were evaluated retrospectively. LP was performed in 68 patientsinsert ignore into journalissuearticles values(51 males, 17 females); for UPJO. Twenty-four patients with antenatal hydronephrosis, 46 patients with abdominal pain, hematuria and urinary tract infectioninsert ignore into journalissuearticles values(UTI); findings were diagnosed with UPJO. Patients were preoperatively followed up by USG and DTPA-MAG3 imaging. During surgery, aberrant vessel in 13insert ignore into journalissuearticles values(19.1%); patients, malrotation in 4insert ignore into journalissuearticles values(5.8%); and polyp in oneinsert ignore into journalissuearticles values(1.4%); patient were detected. Thirteen patientsinsert ignore into journalissuearticles values(19.1%); underwent surgery with the transmesoolic approach, 55 patientsinsert ignore into journalissuearticles values(80.8%); underwent retrocolic surgery, 33 patients underwent laparoscopy-assisted extracorporeal pyeloplasty. In postoperative period, patients were followed up at 1st, 3rd, 6th months and in the first year with USG and at 6th months with DTPA-MAG3 imaging. Postoperative USG follow up showed a decrease in hydronephrosisinsert ignore into journalissuearticles values(p<0.001);, an increase in parenchymal thicknessinsert ignore into journalissuearticles values(p<0.001);, and a decrease in caliceal dilatationinsert ignore into journalissuearticles values(p<0.001);. In scintigraphic data, renal function was increased but it is not statistically significantinsert ignore into journalissuearticles values(p>0.05); and activated half-time was decreasedinsert ignore into journalissuearticles values(p<0.05); in postoperative period. LP is a surgical treatment method with successful results when performed with appropriate indications in experienced clinics.
Keywords : Laparoskopik piyeloplasti, Hidronefroz, Ürteropelvik bileşke darlığı, Pediatrik, Diferansiyel böbrek fonksiyonu