Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol

Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol

Purpose: The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO). Methods: The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021. Resul...

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Veröffentlicht in:Electronic journal of general medicine 2024-02, Vol.21 (1), p.em560
Hauptverfasser: Beloborodov, Vladimir, Vorobev, Vladimir, Kalyagin, Alexey, Sokolova, Svetlana, Shaderkin, Igor, Firsov, Mikhail, Laletin, Dmitrii
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container_issue 1
container_start_page em560
container_title Electronic journal of general medicine
container_volume 21
creator Beloborodov, Vladimir
Vorobev, Vladimir
Kalyagin, Alexey
Sokolova, Svetlana
Shaderkin, Igor
Firsov, Mikhail
Laletin, Dmitrii
description Purpose: The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO). Methods: The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021. Results: Postoperative complications developed rarely, and their frequency and severity were comparable. Independent predictors of UPJO recurrence were the spine osteochondrosis >II period (HR 13.97; 95% CI 1.26; 154.8; p=0.032), the concretions self-discharge (HR 28.49; 95% CI 1.78; 455.62; p=0.018), surgical operation duration > 110 minutes (HR 44.7; 95% CI 3.95; 505.4; p=0.002) and previous nephrostomy (HR 1.07; 95% CI 1.02; 1.13; p=0.002). Conclusions: In the surgical treatment of UPJO, it is advisable to use ERPs, as this allows achieving a better treatment quality with comparable results.
doi_str_mv 10.29333/ejgm/14020
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