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Minimally Invasive Methods in Treatment of Pyeloureteral Stenosis
Nado Vodopija
Sažetak
The aim of this study was to present our experience of using four minimally invasive
methods in treatment of pyeloureteral stenosis by percutaneous access. Fifty patients
underwent different percutaneous operative procedures: the Korth's method, endopyeloureterotomy,
the Fenger's plastic, and laparoscopic dismembered pyeloplasty. We
classified results into 3 groups (outcome good, outcome intermediate, and outcome
poor), depending on clinical improvement and the ultrasonography and diuretic renography
findings six months after the operation. In 30 patients operated on by the method
according to Korth, 23 patients (76.6%) had a good outcome, relative improvement
was achieved in 4 patients (13.3%), and in 3 patients (10%) the result was poor. In 2 patients
the transpelvic endopyelotomy was performed, and results were good in both
cases. In 11 patients operated on by the percutaneous retroperitoneal pyeloplasty according
to Fenger, the results were good in 72.7% of patients. Two patients were operated
on by the dismembered pyeloplasty, another 2 by the ligature of crossing vessels, and finally
the 3 patients operated on by the retrograde Laser incision on pyeloureteral junction,
all showed good results. Minimal invasion operative methods in the treatment of
pyeloureteral stenosis are safe for the patient and have a good final result.
Ključne riječi
pyeloureteral stenosis; minimal invasive methods; pyeloplasty
Hrčak ID:
28136
URI
Datum izdavanja:
26.6.2003.
Posjeta: 1.441 *