Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients
Yıl: 2018 Cilt: 5 Sayı: 3 Sayfa Aralığı: 174 - 179 Metin Dili: İngilizce DOI: 10.4274/jus.1956 İndeks Tarihi: 10-09-2019
Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients
Öz: Objective: Laparoscopic transperitoneal pyeloplasty (LTP) is being widely preferred in the treatment of ureteropelvic junction obstruction (UPJO).This study aims to assess the outcomes of treatment efficacy of LTP performed in our clinic for the treatment of UPJO in adult patients.Materials and Methods: Data of patients, who underwent LTP procedure in our clinic between 2004 and 2017, were reviewed retrospectively. Dataof 116 patients in total were included in the study. The cases were reviewed in terms of demographic characteristics, complaints at admission, andclinical, laboratory and radiological findings. The patients were divided into two groups and correlation of demographic data (age, age group, andgender), side and presence of kidney stone with the presence of crossing vessel was investigated. Chi-square test, Student’s t-test and Fisher’s exacttest were applied for statistical analysis.Results: The mean age of the patients was 29.9 (19-51) years. Eight patients were the secondary patients who underwent open surgery upondiagnosis of UPJO. Forty-one (35.3%) patients had the anomaly of crossing vessel compression, 17 (14.6%)-kidney stone, 5 (4.3%)-solitary kidneyand 3 (2.5%) had horseshoe kidney. The mean operating time was 124 (80-245) minutes. No statistically significant correlation of the presenceof crossing vessel with age, gender, side and presence of stone was found. The mean length of hospital stay was 3.05 (2-11) days and the meanpostoperative follow-up time was 44 (12-120) months. Success rate was found to be 93.1%. One (0.8%) patient had perioperative and 10 (8.6%)patients had postoperative complications.Conclusion: LTP is a feasible, effective and reliable option in the treatment of UPJO with low complication rate and high success rate.
Anahtar Kelime: Konular:
Üreteropelvik Bileşke Darlığı Nedeniyle Erişkin Hastalarda Uygulanan Laparoskopik Transperitoneal Pyeloplasti Sonuçları
Öz: Amaç: Laparoskopik transperitoneal pyeloplasti (LTP), üreteropelvik bileşke darlığı (ÜPBD) tedavisinde artan bir sıklıkta tercih edilmektedir. Bu çalışmada, kliniğimizde ÜPBD tedavisinde uyguladığımız LTP yönteminin tedavi etkinliği üzerine sonuçlarını değerlendirmeyi amaçladık. Gereç ve Yöntem: Kliniğimizde 2004 ve 2017 yılları arasında LTP uygulanan hastaların verileri retrospektif olarak incelendi. Toplam 116 hastanın verileri çalışmaya dahil edildi. Olguların demografik özellikleri, başvuru yakınmaları, klinik, laboratuvar ve radyolojik görüntü bulguları incelendi. Hastalar iki gruba ayırılarak demografik veriler (yaş, yaş grubu, cinsiyet), taraf ve böbrek taşı varlığı ile çaprazlayan damar varlığı arasındaki ilişki araştırıldı. İstatistiksel analizde ki-kare, Student’s t-testi, Fisher exact testi kullanıldı. Bulgular: Hastaların ortalama yaşı 29,9 (19-51) idi. Hastaların 8 tanesi ÜPBD tanısıyla açık cerrahi uygulanmış olan sekonder hastalardı. Hastaların 41’inde (%35,3) çaprazlayan damar basısı, 17’sinde (%14,6) böbrek taşı, 5’inde (%4,3) soliter böbrek ve 3’ünde (%2,5) de at nalı böbrek anomalisi saptandı. Operasyon süresi ortalama 124 (80-245) dakikaydı. Çaprazlayan damar varlığı ile yaş, cinsiyet, taraf ve taş varlığı arasında istatistiksel anlamlı ilişki saptanmadı. Hastanede yatış süresi ortalama 3,05 (2-11) gün, operasyon sonrası izlem süresi ortalama 44 (12-120) aydı. Başarı oranı %93,1 olarak saptandı. Hastaların 1’inde (%0,8) peroperatif, 10’unda (%8,6) ameliyat sonrası komplikasyon gözlendi. Sonuç: LTP, düşük komplikasyon oranları, yüksek başarı oranları ile ÜPBD tanılı hastaların tedavisinde uygulanabilir, etkin ve güvenilir bir seçenektir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | DEMİRDAĞ Ç, ÖZMAN O, Citgez S, ÖNAL B, Talat Z (2018). Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. , 174 - 179. 10.4274/jus.1956 |
| Chicago | DEMİRDAĞ Çetin,ÖZMAN Oktay,Citgez Sinharib,ÖNAL BÜLENT,Talat Zübeyr Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. (2018): 174 - 179. 10.4274/jus.1956 |
| MLA | DEMİRDAĞ Çetin,ÖZMAN Oktay,Citgez Sinharib,ÖNAL BÜLENT,Talat Zübeyr Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. , 2018, ss.174 - 179. 10.4274/jus.1956 |
| AMA | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. . 2018; 174 - 179. 10.4274/jus.1956 |
| Vancouver | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. . 2018; 174 - 179. 10.4274/jus.1956 |
| IEEE | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z "Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients." , ss.174 - 179, 2018. 10.4274/jus.1956 |
| ISNAD | DEMİRDAĞ, Çetin vd. "Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients". (2018), 174-179. https://doi.org/10.4274/jus.1956 |
| APA | DEMİRDAĞ Ç, ÖZMAN O, Citgez S, ÖNAL B, Talat Z (2018). Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. Journal of Urological Surgery, 5(3), 174 - 179. 10.4274/jus.1956 |
| Chicago | DEMİRDAĞ Çetin,ÖZMAN Oktay,Citgez Sinharib,ÖNAL BÜLENT,Talat Zübeyr Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. Journal of Urological Surgery 5, no.3 (2018): 174 - 179. 10.4274/jus.1956 |
| MLA | DEMİRDAĞ Çetin,ÖZMAN Oktay,Citgez Sinharib,ÖNAL BÜLENT,Talat Zübeyr Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. Journal of Urological Surgery, vol.5, no.3, 2018, ss.174 - 179. 10.4274/jus.1956 |
| AMA | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. Journal of Urological Surgery. 2018; 5(3): 174 - 179. 10.4274/jus.1956 |
| Vancouver | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients. Journal of Urological Surgery. 2018; 5(3): 174 - 179. 10.4274/jus.1956 |
| IEEE | DEMİRDAĞ Ç,ÖZMAN O,Citgez S,ÖNAL B,Talat Z "Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients." Journal of Urological Surgery, 5, ss.174 - 179, 2018. 10.4274/jus.1956 |
| ISNAD | DEMİRDAĞ, Çetin vd. "Outcomes of Laparoscopic Transperitoneal Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction in Adult Patients". Journal of Urological Surgery 5/3 (2018), 174-179. https://doi.org/10.4274/jus.1956 |
