Among 7 patients with positive SC, 4 were stented after URS, 1 for hydronephrosis and 1 after open pyeloplasty
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.
A successful use of QLB has been reported for peri-operative analgesia in pyeloplasty
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,  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.