Endoskopie, 2010; 19(3-4): 96-100

A laparoscopic approach in the treatment of the upper urinary tract anomalies

doc.MUDr.Ján Ľupták, PhD.¹, MUDr.Michael Vraný², MUDr.Boris Eliáš, PhD.¹, doc.MUDr.Ján Švihra, PhD.¹, MUDr.Roman Tomaškin, PhD.¹, prof.MUDr.Ján Kliment, CSc.¹

¹ Urologická klinika JLF UK Martin, Slovenská republika

² Chirurgické oddelenie, Nemocnica Jablonec nad Nisou, Česká republika

Introduction: Authors report their experiences and results with laparoscopic approach to treatment of any congenital anomalies.

Materials and methods: Between March 2000 and Februar 2010, 5 women and 4 men mean age 36.7 years (range 12 to 59), with upper

urinary tract anomalies underwent treatment at our department. Anomalies included pelvic kidneys in 7 cases and a duplicated collecting

system in 2 patients. Laparoscopic heminephrectomy was a standard treatment in 2 patients with an obstructed, poorly functioning

upper/lower pole renal moiety. There were three nephrectomies, three pyelolithotomies and one Anderson-Hynes pyeloplasty of

ureteropelvic junction obstruction in patients with existing pelvic kidneys. Transperitoneal approach was used in all patients.

Results: The mean operative time was 147 minutes (range 67 to 251) and mean estimated blood loss was 130 ml (range 40 to 295).

No patient required transfusion. Average length of hospital stay was 2.7 days (range 2 to 5) and drainage was withdrawn on the average

1.5 days after the operation. There were neither complications nor conversions to open surgery.

Conclusions: The laparoscopic approach in treatment of congenital abnormities appears to be a simple, effective and safe therapeutic

modality with low morbidity and good clinical and functional outcomes. Detailed review of imaging during laparoscopy is important to

ensure efficient treatment and to minimize complications.

Keywords: laparoscopy, urinary tract, congenital anomalies

Published: November 24, 2010  Show citation