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Acta clinica Croatica, Vol. 62. No. 1, 2023.

Original scientific paper

https://doi.org/10.20471/acc.2023.62.01.09

Comparison of Laparoscopic and Open Pyeloplasty Impact on Comfort and Success: A Retrospective, Single Center Study

Nuh Aldemir orcid id orcid.org/0000-0002-4857-7891 ; Medipol University, Esenler Hospital, Department of Urology, İstanbul, Turkey
İbrahim Üntan orcid id orcid.org/0000-0002-6958-3625 ; Ahi Evran University, Training and Research Hospital, Department of Urology, Kırşehir, Turkey
Halil Tosun orcid id orcid.org/0000-0002-0289-869X ; Van Training and Research Hospital, Department of Pediatric Urology, Van, Turkey
Deniz Demirci orcid id orcid.org/0000-0003-2656-0666 ; Erciyes University Faculty of Medicine Hospitals, Department of Urology, Kayseri, Turkey

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Abstract

Ureteropelvic junction obstruction causes hydronephrosis and may lead to renal
parenchymal damage unless timely diagnosed and treated. Although open pyeloplasty is still the gold
standard, it needs to be compared with new techniques. In this study, we compared laparoscopic and
open pyeloplasty. Data on 113 patients who had undergone surgery between 2008 and 2014 were
evaluated retrospectively. Thirty-nine patients had undergone laparoscopic pyeloplasty, and 74 had undergone
open pyeloplasty. Ultrasonography was performed at 3 months and scintigraphy at 6 months
postoperatively. Parameters such as the length of surgery, need for analgesics, length of hospital stay,
complications, and success rates were compared. When compared to open pyeloplasty (mean 9.8 dexketoprofen
50 mg IV dose), the need for an analgesic was significantly lower in the laparoscopic pyeloplasty
(mean 4.5, paracetamol 15 mg/kg IV dose) group (p<0.05). The length of hospital stay was
also shorter in the laparoscopic pyeloplasty group (mean 4.0 days) than in the open pyeloplasty group
(mean 7.3 days) (p<0.05). This study demonstrated that laparoscopic pyeloplasty could be safely used
in the treatment of ureteropelvic junction obstruction with a lower need for analgesics and a shorter
length of hospital stay than with open pyeloplasty.

Keywords

Hydronephrosis; Laparoscopic pyeloplasty; Open pyeloplasty; Ureteropelvic junction obstruction

Hrčak ID:

307165

URI

https://hrcak.srce.hr/307165

Publication date:

1.4.2023.

Article data in other languages: croatian

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