Laparoscopic pyeloplasty for ureteropelvic junction obstruction of the lower moiety in a completely duplicated collecting system: A case report

被引：2

作者：

Stravodimos K.G. ^{[1
]}

Anastasiou I. ^{[1
]}

Adamakis I. ^{[1
]}

Kapetanakis T. ^{[1
,2
]}

Koritsiadis G. ^{[1
]}

Constantinides C. ^{[1
]}

机构：

[1] 1st Urology Department, 'Laiko' General Hospital, University of Athens Medical School, Athens

[2] P. Faliro 175 62 Athens

来源：

Journal of Medical Case Reports | / 2卷 / 1期

关键词：

Renal Pelvis; Ureteropelvic Junction Obstruction; Laparoscopic Pyeloplasty; Lower Ureter; Open Pyeloplasty;

D O I：

10.1186/1752-1947-2-333

中图分类号：

学科分类号：

摘要：

Introduction: There are only a few reports on laparoscopic pyeloplasty in kidney abnormalities and only one case for laparoscopic pyeloplasty in a duplicated system. Increasing experience in laparoscopic techniques allows proper treatment of such anomalies. However, its feasibility in difficult cases with altered kidney anatomy such as that of duplicated renal pelvis still needs to be addressed. Case presentation: We present a case of a 22-year-old white Caucasian female patient with ureteropelvic junction obstruction of the lower ureter of a completely duplicated system that was managed with laparoscopic pyeloplasty. Crossing vessels were identified and transposed. The procedure was carried out successfully and the patient's symptoms subsided. Follow-up studies demonstrated complete resolution of the obstruction. Conclusion: Since laparoscopic pyeloplasty is still an evolving procedure, its feasibility in complex cases of kidney anatomic abnormalities is herein further justified. © 2008 Stravodimos et al; licensee BioMed Central Ltd.

引用

共 10 条

[1]

Munver R., Ernest Sosa R., Del Pizzo J.J., Laparoscopic pyeloplasty: History, evolution and future, J Endourol, 18, pp. 748-754, (2004)

[2]

Sahai A., Raghuram S., Minarik L., Khan M.S., Dasgupta P., Laparoscopic pyeloplasty and pyelopyelostomy for ureteropelvic junction obstruction in a duplicated collecting system, Urology, 67, (2006)

[3]

Janetschek G., Reschel R., Frauscher F., Franscher F., Laparoscopic pyeloplasty, Urol Clin North Am, 27, (2000)

[4]

Mumtaz F.H., Kommu S., Siddiqui E., Le Roux P., Hellawell G., Hemal A.K., Minimally invasive treatment of ureteropelvic junction obstruction: Optimizing outcomes with concomitant cost reduction, J Endourol, 20, pp. 663-668, (2006)

[5]

Schuessler W.W., Grune M.T., Tecaunhuey L.V., Preminger G.M., Laparoscopic dismembered pyeloplasty, J Urol, 150, pp. 1795-1799, (1993)

[6]

Jarret T.W., Chan D.Y., Charambura T.C., Fugita O., Kavoussi L.R., Laparoscopic pyeloplasty: The first 100 cases, J Urol, 167, pp. 1253-1256, (2002)

[7]

Levin B.M., Herrel D., Salvage laparoscopic pyeloplasty in the worst case scenario: After both failed open repair and endoscopic salvage, J Endourol, 20, pp. 808-812, (2006)

[8]

Bove P., Ong A.M., Rha K.H., Pinto P., Jarrett T.W., Kavoussi L.R., Laparoscopic management of ureteropelvic junction obstruction in patients with upper urinary tract anomalies, J Urol, 171, pp. 77-79, (2004)

[9]

Kumar S., Singh S.K., Pandya S., Acharya N., Mandal A., Laparoscopic pyeloureterostomy in ureteral duplication with lower polar ureteropelvic junction obstruction: Easy and effective, J Laparoendosc Adv Surg Tech A, 17, pp. 785-788, (2007)

[10]

Ramalingam M., Selvarajan K., Senthil K., Pai M.G., Laparoscopic pyeloureterostomy: Experience in three cases, J Endourol, 20, pp. 115-118, (2006)

← 1 →