Laparoscopic reconstructive urology

<b>Objective: </b> Laparoscopic reconstructive urology is undergoing rapid change. We review the current status of laparoscopic reconstructive urology, with particular respect to pyeloplasty and reconstructive ureteric surgery. <b> Methods:</b> An extensive Medline search of...

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Main Authors: Murphy Declan, Challacombe Ben, Rane Abhay
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2005-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=4;spage=181;epage=187;aulast=Murphy
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author Murphy Declan
Challacombe Ben
Rane Abhay
author_facet Murphy Declan
Challacombe Ben
Rane Abhay
author_sort Murphy Declan
collection DOAJ
description <b>Objective: </b> Laparoscopic reconstructive urology is undergoing rapid change. We review the current status of laparoscopic reconstructive urology, with particular respect to pyeloplasty and reconstructive ureteric surgery. <b> Methods:</b> An extensive Medline search of reconstructive laparoscopic procedures was undertaken. The initial reports and large series reports of a range of procedures was examined and summarised. The most commonly practised procedure within this remit is laparoscopic pyeloplasty. Several series of over 100 patients have been published. Success rates average over 90&#x0025; for laparoscopic pyeloplasty with a low complication rate. Much less common laparoscopic reconstructive urological procedures include ureteric re-implantation, Boari flap, urinary diversion and transuretero-ureterostomy. The results of these are encouraging. <b> Conclusions:</b> Laparoscopic pyeloplasty may be safely performed by either the transperitoneal or retroperitoneal routes with excellent results. It should be considered the "gold standard" for the management of UPJ obstruction, especially in those patients with significant hydronephrosis, renal impairment or a crossing vessel. Laparoscopic ureteric reimplantation, Boari flap, urinary diversion and transuretero-ureterostomy have been performed by experienced laparoscopic urologists with encouraging results.
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spelling doaj.art-3c9c51ef60a5407ab9fd07b4ee5f586c2022-12-22T00:36:33ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99412005-01-0114181187Laparoscopic reconstructive urologyMurphy DeclanChallacombe BenRane Abhay<b>Objective: </b> Laparoscopic reconstructive urology is undergoing rapid change. We review the current status of laparoscopic reconstructive urology, with particular respect to pyeloplasty and reconstructive ureteric surgery. <b> Methods:</b> An extensive Medline search of reconstructive laparoscopic procedures was undertaken. The initial reports and large series reports of a range of procedures was examined and summarised. The most commonly practised procedure within this remit is laparoscopic pyeloplasty. Several series of over 100 patients have been published. Success rates average over 90&#x0025; for laparoscopic pyeloplasty with a low complication rate. Much less common laparoscopic reconstructive urological procedures include ureteric re-implantation, Boari flap, urinary diversion and transuretero-ureterostomy. The results of these are encouraging. <b> Conclusions:</b> Laparoscopic pyeloplasty may be safely performed by either the transperitoneal or retroperitoneal routes with excellent results. It should be considered the "gold standard" for the management of UPJ obstruction, especially in those patients with significant hydronephrosis, renal impairment or a crossing vessel. Laparoscopic ureteric reimplantation, Boari flap, urinary diversion and transuretero-ureterostomy have been performed by experienced laparoscopic urologists with encouraging results.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=4;spage=181;epage=187;aulast=Murphylaparoscopyreconstructionpyeloplastydiversion
spellingShingle Murphy Declan
Challacombe Ben
Rane Abhay
Laparoscopic reconstructive urology
Journal of Minimal Access Surgery
laparoscopy
reconstruction
pyeloplasty
diversion
title Laparoscopic reconstructive urology
title_full Laparoscopic reconstructive urology
title_fullStr Laparoscopic reconstructive urology
title_full_unstemmed Laparoscopic reconstructive urology
title_short Laparoscopic reconstructive urology
title_sort laparoscopic reconstructive urology
topic laparoscopy
reconstruction
pyeloplasty
diversion
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=4;spage=181;epage=187;aulast=Murphy
work_keys_str_mv AT murphydeclan laparoscopicreconstructiveurology
AT challacombeben laparoscopicreconstructiveurology
AT raneabhay laparoscopicreconstructiveurology