Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners
Laparoscopic preparation of the ureter is a challenging part of upper urinary tract reconstruction, due to limited depth perception provided by the camera and lack of wristed motion of most laparoscopic instruments needed for adequate spatulation and scar tissue removal. One solution has been to per...
Gespeichert in:
| Veröffentlicht in: | Central European journal of urology 2019-01, Vol.72 (4), p.413-417 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 417 |
|---|---|
| container_issue | 4 |
| container_start_page | 413 |
| container_title | Central European journal of urology |
| container_volume | 72 |
| creator | Enikeev, Mikhail Gahan, Jeffrey Yossepowitch, Ofer Rapoport, Leonid Grigoryan, Vagarshak Abdusalamov, Abdusalam Lobanov, Mikhail Chuvalov, Leonid Taratkin, Mark Ali, Stanislav Gaas, Margarita Enikeev, Dmitry Glybochko, Petr |
| description | Laparoscopic preparation of the ureter is a challenging part of upper urinary tract reconstruction, due to limited depth perception provided by the camera and lack of wristed motion of most laparoscopic instruments needed for adequate spatulation and scar tissue removal. One solution has been to perform the more difficult portions of the surgery in an extracorporeal manner. A hybrid intracorporeal-extracorporeal approach to upper tract ureteral reconstruction facilitates ureteral preparation at the stage of mastering the technique.
This retrospective study included 100 patients with primary ureteropelvic junction obstruction, who underwent laparoscopic pyeloplasty from 2014 to 2017. The patients were stratified into 2 groups: those who underwent conventional laparoscopic surgery and those who were managed with the hybrid approach. For the hybrid approach, externalizing the ureter to skin level required additional mobilization of the upper urinary tract.
A total of 47 patients underwent conventional laparoscopic pyeloplasty and 53 - hybrid surgery. The maximum body mass index was 32. The hybrid approach was 8.5 minutes shorter compared to the conventional approach (p |
| doi_str_mv | 10.5173/ceju.2019.0022 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6979559</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2350905089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c373t-ce6b1e3a5709eb7a6566c04aed6adea8c19da78bca7e79178a9818e11db61df23</originalsourceid><addsrcrecordid>eNpdkUtrGzEUhUVoSUKabZdFkE03dqWR9cqiUEIehUA37bKIO5prR648mkgzpf730ZDEtNXmCvTdg845hLznbCm5Fp88bqdlw7hdMtY0R-S0YYYtVkaLN4c7UyfkvJQtq0eZlZLymJyIuiQtF6fk5_WfMYNPeUgZIdIp44iZPkDfxdBvaDfleUQYIKfi0xA8HfYY0xChjPtLOoah0ErTMQf_q9B1yrTFTeh7zOUdebuGWPD8ZZ6RHzfX36_uFvffbr9efblfeKHFuPCoWo4CpGYWWw1KKuXZCrBT0CEYz20H2rQeNGrLtQFruEHOu1bxbt2IM_L5WXeY2h12HvtqKrohhx3kvUsQ3L8vfXhwm_TbKautlLYKfHwRyOlxwjK6XSgeY4Qe01RcIySzTDIzoxf_ods05b7aq5QVNdaabaWWz5SvsZWM68NnOHNzeW4uz83lubm8uvDhbwsH_LUq8QTvhZif</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2393591015</pqid></control><display><type>article</type><title>Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners</title><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Enikeev, Mikhail ; Gahan, Jeffrey ; Yossepowitch, Ofer ; Rapoport, Leonid ; Grigoryan, Vagarshak ; Abdusalamov, Abdusalam ; Lobanov, Mikhail ; Chuvalov, Leonid ; Taratkin, Mark ; Ali, Stanislav ; Gaas, Margarita ; Enikeev, Dmitry ; Glybochko, Petr</creator><creatorcontrib>Enikeev, Mikhail ; Gahan, Jeffrey ; Yossepowitch, Ofer ; Rapoport, Leonid ; Grigoryan, Vagarshak ; Abdusalamov, Abdusalam ; Lobanov, Mikhail ; Chuvalov, Leonid ; Taratkin, Mark ; Ali, Stanislav ; Gaas, Margarita ; Enikeev, Dmitry ; Glybochko, Petr</creatorcontrib><description>Laparoscopic preparation of the ureter is a challenging part of upper urinary tract reconstruction, due to limited depth perception provided by the camera and lack of wristed motion of most laparoscopic instruments needed for adequate spatulation and scar tissue removal. One solution has been to perform the more difficult portions of the surgery in an extracorporeal manner. A hybrid intracorporeal-extracorporeal approach to upper tract ureteral reconstruction facilitates ureteral preparation at the stage of mastering the technique.
This retrospective study included 100 patients with primary ureteropelvic junction obstruction, who underwent laparoscopic pyeloplasty from 2014 to 2017. The patients were stratified into 2 groups: those who underwent conventional laparoscopic surgery and those who were managed with the hybrid approach. For the hybrid approach, externalizing the ureter to skin level required additional mobilization of the upper urinary tract.
A total of 47 patients underwent conventional laparoscopic pyeloplasty and 53 - hybrid surgery. The maximum body mass index was 32. The hybrid approach was 8.5 minutes shorter compared to the conventional approach (p <0.001). No complications higher than Clavien-Dindo IIIb (n = 2) were observed (in both groups). Complete success (the resolution of pain and/or hydronephrosis) was observed in 92.5% in the hybrid group and in 95.7% in the conventional treatment group.
Hybrid pyeloplasty may be considered safe and effective. It has the advantage of making the surgery less challenging and time-consuming while offering improved precision. The advantages of the technique are particularly apparent during training. This technique can be recommended in the learning process of the surgeon.</description><identifier>ISSN: 2080-4806</identifier><identifier>ISSN: 2080-4873</identifier><identifier>EISSN: 2080-4873</identifier><identifier>DOI: 10.5173/ceju.2019.0022</identifier><identifier>PMID: 32015913</identifier><language>eng</language><publisher>Poland: Polish Urological Association</publisher><subject>Body mass index ; Laparoscopy ; Original Paper ; Pain ; Patients ; Reconstructive surgery ; Surgical outcomes ; Urogenital system</subject><ispartof>Central European journal of urology, 2019-01, Vol.72 (4), p.413-417</ispartof><rights>Copyright by Polish Urological Association.</rights><rights>Copyright Polish Urological Association 2019</rights><rights>Copyright by Polish Urological Association 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979559/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979559/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32015913$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Enikeev, Mikhail</creatorcontrib><creatorcontrib>Gahan, Jeffrey</creatorcontrib><creatorcontrib>Yossepowitch, Ofer</creatorcontrib><creatorcontrib>Rapoport, Leonid</creatorcontrib><creatorcontrib>Grigoryan, Vagarshak</creatorcontrib><creatorcontrib>Abdusalamov, Abdusalam</creatorcontrib><creatorcontrib>Lobanov, Mikhail</creatorcontrib><creatorcontrib>Chuvalov, Leonid</creatorcontrib><creatorcontrib>Taratkin, Mark</creatorcontrib><creatorcontrib>Ali, Stanislav</creatorcontrib><creatorcontrib>Gaas, Margarita</creatorcontrib><creatorcontrib>Enikeev, Dmitry</creatorcontrib><creatorcontrib>Glybochko, Petr</creatorcontrib><title>Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners</title><title>Central European journal of urology</title><addtitle>Cent European J Urol</addtitle><description>Laparoscopic preparation of the ureter is a challenging part of upper urinary tract reconstruction, due to limited depth perception provided by the camera and lack of wristed motion of most laparoscopic instruments needed for adequate spatulation and scar tissue removal. One solution has been to perform the more difficult portions of the surgery in an extracorporeal manner. A hybrid intracorporeal-extracorporeal approach to upper tract ureteral reconstruction facilitates ureteral preparation at the stage of mastering the technique.
This retrospective study included 100 patients with primary ureteropelvic junction obstruction, who underwent laparoscopic pyeloplasty from 2014 to 2017. The patients were stratified into 2 groups: those who underwent conventional laparoscopic surgery and those who were managed with the hybrid approach. For the hybrid approach, externalizing the ureter to skin level required additional mobilization of the upper urinary tract.
A total of 47 patients underwent conventional laparoscopic pyeloplasty and 53 - hybrid surgery. The maximum body mass index was 32. The hybrid approach was 8.5 minutes shorter compared to the conventional approach (p <0.001). No complications higher than Clavien-Dindo IIIb (n = 2) were observed (in both groups). Complete success (the resolution of pain and/or hydronephrosis) was observed in 92.5% in the hybrid group and in 95.7% in the conventional treatment group.
Hybrid pyeloplasty may be considered safe and effective. It has the advantage of making the surgery less challenging and time-consuming while offering improved precision. The advantages of the technique are particularly apparent during training. This technique can be recommended in the learning process of the surgeon.</description><subject>Body mass index</subject><subject>Laparoscopy</subject><subject>Original Paper</subject><subject>Pain</subject><subject>Patients</subject><subject>Reconstructive surgery</subject><subject>Surgical outcomes</subject><subject>Urogenital system</subject><issn>2080-4806</issn><issn>2080-4873</issn><issn>2080-4873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkUtrGzEUhUVoSUKabZdFkE03dqWR9cqiUEIehUA37bKIO5prR648mkgzpf730ZDEtNXmCvTdg845hLznbCm5Fp88bqdlw7hdMtY0R-S0YYYtVkaLN4c7UyfkvJQtq0eZlZLymJyIuiQtF6fk5_WfMYNPeUgZIdIp44iZPkDfxdBvaDfleUQYIKfi0xA8HfYY0xChjPtLOoah0ErTMQf_q9B1yrTFTeh7zOUdebuGWPD8ZZ6RHzfX36_uFvffbr9efblfeKHFuPCoWo4CpGYWWw1KKuXZCrBT0CEYz20H2rQeNGrLtQFruEHOu1bxbt2IM_L5WXeY2h12HvtqKrohhx3kvUsQ3L8vfXhwm_TbKautlLYKfHwRyOlxwjK6XSgeY4Qe01RcIySzTDIzoxf_ods05b7aq5QVNdaabaWWz5SvsZWM68NnOHNzeW4uz83lubm8uvDhbwsH_LUq8QTvhZif</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Enikeev, Mikhail</creator><creator>Gahan, Jeffrey</creator><creator>Yossepowitch, Ofer</creator><creator>Rapoport, Leonid</creator><creator>Grigoryan, Vagarshak</creator><creator>Abdusalamov, Abdusalam</creator><creator>Lobanov, Mikhail</creator><creator>Chuvalov, Leonid</creator><creator>Taratkin, Mark</creator><creator>Ali, Stanislav</creator><creator>Gaas, Margarita</creator><creator>Enikeev, Dmitry</creator><creator>Glybochko, Petr</creator><general>Polish Urological Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190101</creationdate><title>Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners</title><author>Enikeev, Mikhail ; Gahan, Jeffrey ; Yossepowitch, Ofer ; Rapoport, Leonid ; Grigoryan, Vagarshak ; Abdusalamov, Abdusalam ; Lobanov, Mikhail ; Chuvalov, Leonid ; Taratkin, Mark ; Ali, Stanislav ; Gaas, Margarita ; Enikeev, Dmitry ; Glybochko, Petr</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-ce6b1e3a5709eb7a6566c04aed6adea8c19da78bca7e79178a9818e11db61df23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Body mass index</topic><topic>Laparoscopy</topic><topic>Original Paper</topic><topic>Pain</topic><topic>Patients</topic><topic>Reconstructive surgery</topic><topic>Surgical outcomes</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Enikeev, Mikhail</creatorcontrib><creatorcontrib>Gahan, Jeffrey</creatorcontrib><creatorcontrib>Yossepowitch, Ofer</creatorcontrib><creatorcontrib>Rapoport, Leonid</creatorcontrib><creatorcontrib>Grigoryan, Vagarshak</creatorcontrib><creatorcontrib>Abdusalamov, Abdusalam</creatorcontrib><creatorcontrib>Lobanov, Mikhail</creatorcontrib><creatorcontrib>Chuvalov, Leonid</creatorcontrib><creatorcontrib>Taratkin, Mark</creatorcontrib><creatorcontrib>Ali, Stanislav</creatorcontrib><creatorcontrib>Gaas, Margarita</creatorcontrib><creatorcontrib>Enikeev, Dmitry</creatorcontrib><creatorcontrib>Glybochko, Petr</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Central European journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Enikeev, Mikhail</au><au>Gahan, Jeffrey</au><au>Yossepowitch, Ofer</au><au>Rapoport, Leonid</au><au>Grigoryan, Vagarshak</au><au>Abdusalamov, Abdusalam</au><au>Lobanov, Mikhail</au><au>Chuvalov, Leonid</au><au>Taratkin, Mark</au><au>Ali, Stanislav</au><au>Gaas, Margarita</au><au>Enikeev, Dmitry</au><au>Glybochko, Petr</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners</atitle><jtitle>Central European journal of urology</jtitle><addtitle>Cent European J Urol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>72</volume><issue>4</issue><spage>413</spage><epage>417</epage><pages>413-417</pages><issn>2080-4806</issn><issn>2080-4873</issn><eissn>2080-4873</eissn><abstract>Laparoscopic preparation of the ureter is a challenging part of upper urinary tract reconstruction, due to limited depth perception provided by the camera and lack of wristed motion of most laparoscopic instruments needed for adequate spatulation and scar tissue removal. One solution has been to perform the more difficult portions of the surgery in an extracorporeal manner. A hybrid intracorporeal-extracorporeal approach to upper tract ureteral reconstruction facilitates ureteral preparation at the stage of mastering the technique.
This retrospective study included 100 patients with primary ureteropelvic junction obstruction, who underwent laparoscopic pyeloplasty from 2014 to 2017. The patients were stratified into 2 groups: those who underwent conventional laparoscopic surgery and those who were managed with the hybrid approach. For the hybrid approach, externalizing the ureter to skin level required additional mobilization of the upper urinary tract.
A total of 47 patients underwent conventional laparoscopic pyeloplasty and 53 - hybrid surgery. The maximum body mass index was 32. The hybrid approach was 8.5 minutes shorter compared to the conventional approach (p <0.001). No complications higher than Clavien-Dindo IIIb (n = 2) were observed (in both groups). Complete success (the resolution of pain and/or hydronephrosis) was observed in 92.5% in the hybrid group and in 95.7% in the conventional treatment group.
Hybrid pyeloplasty may be considered safe and effective. It has the advantage of making the surgery less challenging and time-consuming while offering improved precision. The advantages of the technique are particularly apparent during training. This technique can be recommended in the learning process of the surgeon.</abstract><cop>Poland</cop><pub>Polish Urological Association</pub><pmid>32015913</pmid><doi>10.5173/ceju.2019.0022</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2080-4806 |
| ispartof | Central European journal of urology, 2019-01, Vol.72 (4), p.413-417 |
| issn | 2080-4806 2080-4873 2080-4873 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6979559 |
| source | PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Body mass index Laparoscopy Original Paper Pain Patients Reconstructive surgery Surgical outcomes Urogenital system |
| title | Extracorporeal ureter handling during laparoscopic pyeloplasty: tips and tricks for beginners |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T06%3A07%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Extracorporeal%20ureter%20handling%20during%20laparoscopic%20pyeloplasty:%20tips%20and%20tricks%20for%20beginners&rft.jtitle=Central%20European%20journal%20of%20urology&rft.au=Enikeev,%20Mikhail&rft.date=2019-01-01&rft.volume=72&rft.issue=4&rft.spage=413&rft.epage=417&rft.pages=413-417&rft.issn=2080-4806&rft.eissn=2080-4873&rft_id=info:doi/10.5173/ceju.2019.0022&rft_dat=%3Cproquest_pubme%3E2350905089%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2393591015&rft_id=info:pmid/32015913&rfr_iscdi=true |