SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT
The article presents the operation results of 380 patients (170 (44,7%) men and 210 (55,3%) women) with obstruction of pyeloureteral segment at the period from 1996 to 2014. The middle age was 43,2±7,6 years old. Primary strictures took place in 302 (79,5%) patients and recurrent strictures - in 78...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2015-06-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/61 |
| _version_ | 1797877834334601216 |
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| author | B. K. Komyakov B. G. Guliev A. V. Zagazezhev R. V. Aliev |
| author_facet | B. K. Komyakov B. G. Guliev A. V. Zagazezhev R. V. Aliev |
| author_sort | B. K. Komyakov |
| collection | DOAJ |
| description | The article presents the operation results of 380 patients (170 (44,7%) men and 210 (55,3%) women) with obstruction of pyeloureteral segment at the period from 1996 to 2014. The middle age was 43,2±7,6 years old. Primary strictures took place in 302 (79,5%) patients and recurrent strictures - in 78 (20,5%). Open and laparoscopic plastic operations were performed in 248 (65,2%), endoscopic surgery - in 112 (29,5%), organo-removal surgery - in 20 (5,3%) cases out of 380 patients with obstruction of pyeloureteral segment. The hines Andersen open pyeloplasty was carried out in 142 (37,4%) patients with primary hydronephrosis out of 152. In addition, an antevasal pyeloureteral anastomosis was formed in 65 (17,1%) cases. Neivert operation was used in 8 (2,1%) cases because of extensive stricture of pyeloureteral segment. Kalp-De Vird pathwise pyeloplasty was fulfilled in 2 (0,5%) patients. Laparoscopic pyeloplasty was performed on 96 (16,7%) patients. These surgeries were carried out by transperitoneal approach using lateral position and 3 or 4 trocars. Endoscopic treatment of pyeloureteral segment was completed in 112 (29,5%) patients. Percutaneous endopyelotomy was used in 42 (11,0%) and retrograde - in 64 (16,8%) cases. Endoplasty of pyeloureteral segment was applied in 6 (1,6%). The efficacy of open pyeloplasty consisted of 93,7% and laparoscopic pyeloplasty - 94,6%. Good results after endopyelotomy were noted in recurrent strictures of pyelouretal segment. |
| first_indexed | 2024-04-10T02:23:38Z |
| format | Article |
| id | doaj.art-dbcfc8f9803c4a9b83c2c9d297182741 |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:23:38Z |
| publishDate | 2015-06-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-dbcfc8f9803c4a9b83c2c9d2971827412023-03-13T08:09:08ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-06-011743242810.24884/0042-4625-2015-174-3-24-2860SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENTB. K. Komyakov0B. G. Guliev1A. V. Zagazezhev2R. V. Aliev3North-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovThe article presents the operation results of 380 patients (170 (44,7%) men and 210 (55,3%) women) with obstruction of pyeloureteral segment at the period from 1996 to 2014. The middle age was 43,2±7,6 years old. Primary strictures took place in 302 (79,5%) patients and recurrent strictures - in 78 (20,5%). Open and laparoscopic plastic operations were performed in 248 (65,2%), endoscopic surgery - in 112 (29,5%), organo-removal surgery - in 20 (5,3%) cases out of 380 patients with obstruction of pyeloureteral segment. The hines Andersen open pyeloplasty was carried out in 142 (37,4%) patients with primary hydronephrosis out of 152. In addition, an antevasal pyeloureteral anastomosis was formed in 65 (17,1%) cases. Neivert operation was used in 8 (2,1%) cases because of extensive stricture of pyeloureteral segment. Kalp-De Vird pathwise pyeloplasty was fulfilled in 2 (0,5%) patients. Laparoscopic pyeloplasty was performed on 96 (16,7%) patients. These surgeries were carried out by transperitoneal approach using lateral position and 3 or 4 trocars. Endoscopic treatment of pyeloureteral segment was completed in 112 (29,5%) patients. Percutaneous endopyelotomy was used in 42 (11,0%) and retrograde - in 64 (16,8%) cases. Endoplasty of pyeloureteral segment was applied in 6 (1,6%). The efficacy of open pyeloplasty consisted of 93,7% and laparoscopic pyeloplasty - 94,6%. Good results after endopyelotomy were noted in recurrent strictures of pyelouretal segment.https://www.vestnik-grekova.ru/jour/article/view/61ureterpyeloureteral segmentobstructionsurgery |
| spellingShingle | B. K. Komyakov B. G. Guliev A. V. Zagazezhev R. V. Aliev SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT Вестник хирургии имени И.И. Грекова ureter pyeloureteral segment obstruction surgery |
| title | SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT |
| title_full | SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT |
| title_fullStr | SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT |
| title_full_unstemmed | SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT |
| title_short | SURGICAL TREATMENT OF PATIENTS WITH OBSTRUCTION OF PYELOURETERAL SEGMENT |
| title_sort | surgical treatment of patients with obstruction of pyeloureteral segment |
| topic | ureter pyeloureteral segment obstruction surgery |
| url | https://www.vestnik-grekova.ru/jour/article/view/61 |
| work_keys_str_mv | AT bkkomyakov surgicaltreatmentofpatientswithobstructionofpyeloureteralsegment AT bgguliev surgicaltreatmentofpatientswithobstructionofpyeloureteralsegment AT avzagazezhev surgicaltreatmentofpatientswithobstructionofpyeloureteralsegment AT rvaliev surgicaltreatmentofpatientswithobstructionofpyeloureteralsegment |