Journal article
Complications during the initial experience with laparoendoscopic single-site pyeloplasty
BJU international, Vol.108(8), pp.1326-1329
2011
DOI: 10.1111/j.1464-410X.2011.10078.x
PMID: 21410632
Abstract
Objective: • To review our initial series of laparoendoscopic single-site (LESS) pyeloplasties, focusing on 30-day complication rates as an indicator of learning curve, and to define the expected morbidity.
Patients and methods: • The study comprised 28 patients who underwent LESS pyeloplasty by a single surgeon from October 2007. • A chart review was undertaken to identify the complications that occurred within the first 30 days after surgery.
Results: • The mean operating time was 197 min. • Seven patients (25%) experienced a total of eight complications. Four patients required nephrostomy tube placement (14%) during the early postoperative period, two for symptomatic obstruction despite the ureteral stent and two for a urine leak. Another had urine leakage that resolved spontaneously after she went home with the surgical drain for 1 week. One patient (4%) developed a retroperitoneal haematoma and required blood transfusion and one had haematuria that prolonged hospital stay by 2 days. • Of the patients experiencing complications, 71% were in the first ten cases. Only two complications occurred in the subsequent 18 patients.
Conclusions: • The LESS pyeloplasty procedure is a technically difficult, even for an experienced laparoscopic surgeon and the surgical challenges of this technique may translate to a higher complication rate for LESS than for conventional laparoscopic pyeloplasty early in the learning curve. However, within a relatively few cases, the complication rate is similar to that of standard laparoscopic pyeloplasty. • Additional follow-up is required to determine the long-term success rate.
Details
- Title: Subtitle
- Complications during the initial experience with laparoendoscopic single-site pyeloplasty
- Creators
- Sara L BEST - The University of Texas Southwestern Medical Center at Dallas, TX, United StatesChester DONNALLY - The University of Texas Southwestern Medical Center at Dallas, TX, United StatesSaad A MIR - The University of Texas Southwestern Medical Center at Dallas, TX, United StatesChad R TRACY - Penn State Milton S. Hershey Medical Center, Hershey, PA, United StatesJay D RAMAN - University of Iowa Hospitals and Clinics, Iowa City, IA, United StatesJeffrey A CADEDDU - The University of Texas Southwestern Medical Center at Dallas, TX, United States
- Resource Type
- Journal article
- Publication Details
- BJU international, Vol.108(8), pp.1326-1329
- Publisher
- Wiley-Blackwell; Oxford
- DOI
- 10.1111/j.1464-410X.2011.10078.x
- PMID
- 21410632
- ISSN
- 1464-4096
- eISSN
- 1464-410X
- Language
- English
- Date published
- 2011
- Academic Unit
- Radiology; Urology
- Record Identifier
- 9984051591502771
Metrics
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