Laparoscopic ureteropyeloanastomosis in the treatment of duplex system

Detalhes bibliográficos
Autor(a) principal: Hisano,Marcelo
Data de Publicação: 2012
Outros Autores: Denes,Francisco T., Brito,Artur H., Lucon,Marcos, Machado,Marcos G., Bruschini,Homero, Srougi,Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000200012
Resumo: PURPOSE: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. MATERIALS AND METHODS: Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent. RESULTS: Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function. CONCLUSION: Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.
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spelling Laparoscopic ureteropyeloanastomosis in the treatment of duplex systemlaparoscopykidneycongenital abnormalitiesPURPOSE: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. MATERIALS AND METHODS: Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent. RESULTS: Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function. CONCLUSION: Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.Sociedade Brasileira de Urologia2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000200012International braz j urol v.38 n.2 2012reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382012000200012info:eu-repo/semantics/openAccessHisano,MarceloDenes,Francisco T.Brito,Artur H.Lucon,MarcosMachado,Marcos G.Bruschini,HomeroSrougi,Migueleng2012-05-21T00:00:00Zoai:scielo:S1677-55382012000200012Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2012-05-21T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
title Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
spellingShingle Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
Hisano,Marcelo
laparoscopy
kidney
congenital abnormalities
title_short Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
title_full Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
title_fullStr Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
title_full_unstemmed Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
title_sort Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
author Hisano,Marcelo
author_facet Hisano,Marcelo
Denes,Francisco T.
Brito,Artur H.
Lucon,Marcos
Machado,Marcos G.
Bruschini,Homero
Srougi,Miguel
author_role author
author2 Denes,Francisco T.
Brito,Artur H.
Lucon,Marcos
Machado,Marcos G.
Bruschini,Homero
Srougi,Miguel
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Hisano,Marcelo
Denes,Francisco T.
Brito,Artur H.
Lucon,Marcos
Machado,Marcos G.
Bruschini,Homero
Srougi,Miguel
dc.subject.por.fl_str_mv laparoscopy
kidney
congenital abnormalities
topic laparoscopy
kidney
congenital abnormalities
description PURPOSE: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. MATERIALS AND METHODS: Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent. RESULTS: Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function. CONCLUSION: Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000200012
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000200012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-55382012000200012
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.38 n.2 2012
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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