Among 7 patients with positive SC, 4 were stented after URS, 1 for hydronephrosis and 1 after open
pyeloplasty operation.
At our clinic, laparoscopic-assisted
pyeloplasty (LAP) is performed with QLB and wound infiltration (WI) for postoperative analgesia.
While most experts suggest that
pyeloplasty be considered in patients showing obstructed drainage and differential function below 40%, others propose surgery at differential function below 35%, or an obstructed renogram with prolonged [t.sub.1/2] > 20 min.
The most commonly performed procedures included AndersonHynes
pyeloplasty (n=40), fulgration of PUV (n=15), extracorporeal shock-wave lithotripsy (n=11) and vesicostomy (n=9).
Training Models in Minimally Invasive Surgery for Laparoscopic
Pyeloplasty: Review of the Literature
The robots are connected to a wide vision screen which allows doctors to perform highly precise procedures such as
pyeloplasty. Such technology offers several benefits for paediatric patients including less pain and discomfort post-surgery, a reduced need for an overnight hospital stay for certain procedures as well as a faster return to full activity in many cases.
To date, surgeries at Sidra Medicine that have been conducted using the innovative technology included
pyeloplasty -- the surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney -- and cholecystectomy -- the surgical removal of the gall bladder.
Subcutaneous emphysema, pneumomediastinum and bilateral pneumothoraces after laparoscopic
pyeloplasty. J Urol 2003;170:1936-7.
It is established that stent insertions are done blindly without the need of fluoroscopy during laparoscopic
pyeloplasty and ureteric reimplants, [10] and this encouraged us to translate this concept for our procedures.
(7) reported a case with a 17-cm-long FEP stemming from a distal UPJ, which was treated with laparoscopic
pyeloplasty. Recently, endoscopic treatment has been used with increasing frequency for patients with ureteral tumors, as seen in the present case (8).
One patient underwent a laparoscopic nephrectomy, 1 patient underwent a
pyeloplasty and pyelolithotomy, 1 patient had URS, SWL, PCNL and cystoscopy with lithopaxy.