Fernández GA, Carreño RJ, González MR, Menéndez GA, Albelo AY, Cruz BOF

Language: Spanish
References: 12
Page: 84-94
PDF size: 389.05 Kb.

ABSTRACT

Introduction: the relationship between the ureteral obstruction and the hydronephrosis was described initially by Hinmann in 1934 Mc Croy probed that the correction of the obstruction stops the kidney deterioration, besides allows there covery of this funtion in some patients. The first pieloplasty for the tratment of the pyeloureteral obstruction was reported more tan 100 years ago. Since then many aspects in the manipuletion of the patient with hydronephrosis and the surgery techniques have evolved. At present the Laparoscopic Pyeloplasty (as minimally invasive procedure) is the procedure of choice on the treatment of this disease. Objective: to expose our experience with the laparoscopic pyeloplasty in the treatment of the obstruction of the pyelouretheral junction. Methods: descriptive studies, where 22 procedures are analysed between march 2007 and may 2010. Few variables are defined as age, boarding, location, surgery time presence of crossing vessel and conversión. Results: out of the 22 patients: 17 of them cause have been an abnormal blood vessel and 5 of the man intrinsic obstruction. The age range of this group of patients is from 15 to 67, being the average age 37. In 11 patients the obstruction was in the right kidney. Conclusions: the laparoscopic pyeloplasty have similar results conventional open surgery.

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