Effect comparison of retrograde ureteroscopic endopyelotomy with laparo-scopic retroperitoneal dismembered pyeloplasty for ureteropelvic junction obstruction
Abstract：Objective To compare the efficacy of retrograde ureteroscopic (RUS) endopyelotomy with laparoscopic retroperitoneal dismembered pyeloplasty for the treatment of ureteropelvic junction obstruction. Methods Thirty-three UPJO cases were divided into two groups:20 cases (the RUS group) were subjected to RUS holmium laser endopyelotomy,and 13 cases were subjected to laparoscopic retroperitoneal dismembered pyeloplasty. Results No case was converted to open surgery in either group;the average operation time was (39.3 ± 7.4) min vs (210.7 ± 30.7) min, respectively;blood loss was (9.1 ± 6.3) ml vs (55.1 ± 17.9) ml, respectively; postoperative hospital stay was (3.8 ± 1.3) d vs (7.3 ± 2.1) d, respectively; and average cost was (8937) yuan vs (25477) yuan, respectively. The differences were significant. Conclusion Retrograde ureteroscopic endopyelotomy using a holmium YAG laser is a safe, effective and economical therapy for treating ureteropelvic junction obstruction. Laparoscopic retroperitoneal dismembered pyeloplasty is effective in treating patients suffering from complicated cases, such as severe hydronephrosis.
Keywords：Ureteropelvic junction obstructionRetrograde ureteroscopic endopyelotomyLaparoscopic retroperitoneal dismembered pyeloplasty
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 139-141 )