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ORIGINAL ARTICLE
Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol
1
Department of General Surgery, Irkutsk State Medical University, Irkutsk, RUSSIA
2
Department of Internal Medicine, Irkutsk State Medical University, Irkutsk, RUSSIA
3
E-Health Laboratory, I. M. Sechenov First Moscow State Medical University, Moscow, RUSSIA
4
Department of Urology, Andrology and Sexology, Krasnoyarsk State Medical University named after Professor V. F. Voino-Yasenetsky, Krasnoyarsk, RUSSIA
Online publication date: 2023-12-14
Publication date: 2024-01-01
Electron J Gen Med 2024;21(1):em560
KEYWORDS
fast track surgeryERASureteropelvic junction strictureureteropelvic junction obstructionUPJOUPJO strictureenhanced recoveryAnderson-Hynes dismembered pyeloplastyminimally invasive surgery
ABSTRACT
Purpose:
The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO).
Methods:
The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021.
Results:
Postoperative complications developed rarely, and their frequency and severity were comparable. Independent predictors of UPJO recurrence were the spine osteochondrosis >II period (HR 13.97; 95% CI 1.26; 154.8; p=0.032), the concretions self-discharge (HR 28.49; 95% CI 1.78; 455.62; p=0.018), surgical operation duration > 110 minutes (HR 44.7; 95% CI 3.95; 505.4; p=0.002) and previous nephrostomy (HR 1.07; 95% CI 1.02; 1.13; p=0.002).
Conclusions:
In the surgical treatment of UPJO, it is advisable to use ERPs, as this allows achieving a better treatment quality with comparable results.
The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO).
Methods:
The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021.
Results:
Postoperative complications developed rarely, and their frequency and severity were comparable. Independent predictors of UPJO recurrence were the spine osteochondrosis >II period (HR 13.97; 95% CI 1.26; 154.8; p=0.032), the concretions self-discharge (HR 28.49; 95% CI 1.78; 455.62; p=0.018), surgical operation duration > 110 minutes (HR 44.7; 95% CI 3.95; 505.4; p=0.002) and previous nephrostomy (HR 1.07; 95% CI 1.02; 1.13; p=0.002).
Conclusions:
In the surgical treatment of UPJO, it is advisable to use ERPs, as this allows achieving a better treatment quality with comparable results.
REFERENCES (26)
1.
Weitz M, Schmidt M, Laube G. Primary non-surgical management of unilateral ureteropelvic junction obstruction in children: A systematic review. Pediatr Nephrol. 2017;32:2203-13. https://doi.org/10.1007/s00467... PMid:28012005.
2.
Woodward M, Frank D. Postnatal management of antenatal hydronephrosis. BJU Int. 2002;89(2):149-56. https://doi.org/10.1046/j.1464... PMid:11849184.
3.
Krajewski W, Wojciechowska J, Dembowski J, Zdrojowy R, Szydełko T. Hydronephrosis in the course of ureteropelvic junction obstruction: An underestimated problem? Current opinions on the pathogenesis, diagnosis and treatment. Adv Clin Exp Med. 2017;26(5):857-64. https://doi.org/10.17219/acem/... PMid:29068584.
4.
Szydelko T, Tuchendler T, Litarski A, Urbańczyk G, Apoznański W, Janczak D. Laparoscopic Anderson-Hynes procedure as a treatment of ureteropelvic junction obstruction caused by fibroepithelial polyp. Wideochir Inne Tech Maloinwazyjne. 2013;8(4):361-3. https://doi.org/10.5114/wiitm.... PMid:24501609 PMCid:PMC3908643.
5.
Fukumoto Y, Hata T, Masuzawa T, et al. [A case of stenosis at the junction of the renal pelvis and ureter after laparoscopic right hemicolectomy]. Gan To Kagaku Ryoho. 2021;48(13):1987-9. PMid:35045469.
6.
Mitterberger M, Pinggera GM, Neururer R, et al. Comparison of contrast-enhanced color doppler imaging (CDI), computed tomography (CT), and magnetic resonance imaging (MRI) for the detection of crossing vessels in patients with ureteropelvic junction obstruction (UPJO). Eur Urol. 2008;53(6):1254-62. https://doi.org/10.1016/j.euru... PMid:18037558.
7.
Kostakis ID, Sran H, Uwechue R, et al. Comparison between robotic and laparoscopic or open anastomoses: A systematic review and meta-analysis. Robot Surg. 2019;6:27-40. https://doi.org/10.2147/RSRR.S... PMid:31921934 PMCid:PMC6934120.
8.
Pisarev DI, Novikov OO, Nikitin KS, Boyko NN, Sakanyan KM, Novikovа MY. Selection of optimal conditions for the separation of curcuminoids by high-performance capillary electrophoresis (HPCE) using micellar electrokinetic chromatography (MEKC). Drug Dev Registr. 2022;11(2):145-52. https://doi.org/10.33380/2305-....
9.
Bitkina TA, Basevich AV. Development of the composition and technology of a combined drug based on microspheres with doxorubicin hydrochloride and comenic acid. Drug Dev Registr. 2022;11(2):118-25. https://doi.org/10.33380/2305-....
10.
Freitas PFS, Barbosa JABA, Andrade HS, et al. Pyeloplasty in adults with ureteropelvic junction obstruction in poorly functioning kidneys: A systematic review. Urology. 2021; 156:e66-73. https://doi.org/10.1016/j.urol... PMid:34033827.
11.
Li L, Qiu M, Gong B, Wang Y, Feng Q. Systematic review and meta-analysis of ureteral stent for risk factors of restenosis after laparoscopic pyeloplasty. Ann Palliat Med. 2021; 10(10):10527-34. https://doi.org/10.21037/apm-2... PMid:34763499.
12.
Rickard M, Chua M, Dos Santos J, Brownrigg N, Lorenzo AJ. Evolving trends in peri-operative management of pediatric ureteropelvic junction obstruction: Working towards quicker recovery and day surgery pyeloplasty. World J Urol. 2022;40:1283-4. https://doi.org/10.1007/s00345... PMid:34997295.
13.
Rickard M, Chua M, Kim JK, et al. Evolving trends in peri-operative management of pediatric ureteropelvic junction obstruction: Working towards quicker recovery and day surgery pyeloplasty. World J Urol. 2021;39:3677-84. https://doi.org/10.1007/s00345... PMid:33660089.
14.
Ekin RG, Celik O, Ilbey YO. An up-to-date overview of minimally invasive treatment methods in ureteropelvic junction obstruction. Cent European J Urol. 2015;68:245-51. https://doi.org/10.5173/ceju.2... PMid:26251754 PMCid:PMC4526614.
15.
Uhlig A, Uhlig J, Trojan L, Hinterthaner M, von Hammerstein-Equord A, Strauss A. Surgical approaches for treatment of ureteropelvic junction obstruction–A systematic review and network meta-analysis. BMC Urol. 2019;19:112. https://doi.org/10.1186/s12894... PMid:31711468 PMCid:PMC6849262.
16.
Zhu W, Xiong S, Xu C, et al. Initial experiences with preoperative three-dimensional image reconstruction technology in laparoscopic pyeloplasty for ureteropelvic junction obstruction. Transl Androl Urol. 2021;10(11):4142-51. https://doi.org/10.21037/tau-2... PMid:34984180 PMCid:PMC8661249.
17.
Rybchenko OI, Suslov VV, Kedik SA, Domnina YuM, Mogaibo AI. Flow dispersion for obtaining ivermectin encapsulated in polycaprolactone microparticles. Drug Dev Registr. 2022; 11(2):79-86. https://doi.org/10.33380/2305-....
18.
Gao B, Farhat W, Zu’bi F, Chua M, Shiff M, Al-Kutbi R, et al. Comparative analysis of suturing technique in pediatric pyeloplasty on surgical outcomes. Pediatr Surg Int. 2021; 37:1633-7. https://doi.org/10.1007/s00383... PMid:34228166.
19.
Nayyar R, Kumar P, Panaiyadiyan S, Seth A. Ureter-first approach and reduction of pelvis: Standardizing handling of ureteropelvic junction during pyeloplasty. Urology. 2021;160:210-6. https://doi.org/10.1016/j.urol... PMid:34813830.
20.
Morsi HA, Mursi K, Abdelaziz AY, Elsheemy MS, Salah M, Eissa MA. Renal pelvis reduction during dismembered pyeloplasty: Is it necessary? J Pediatr Urol. 2013;9(3):303-6. https://doi.org/10.1016/j.jpur... PMid:22459589.
21.
Farouk A, Tawfick A, Reda M, et al. Fibrin glue as a sealant in stentless laparoscopic pyeloplasty: A randomised controlled trial. Arab J Urol. 2019;17(3):228-33. https://doi.org/10.1080/209059... PMid:31489240 PMCid:PMC6711147.
22.
Pérez-Lanzac A, García-Baquero R. Minilaparoscopy in urology: Systematic review. Actas Urol Esp (Engl Ed). 2018;42(5):299-308. https://doi.org/10.1016/j.acur....
23.
Danuser H, Germann C, Pelzer N, Rühle A, Stucki P, Mattei A. One- vs 4-week stent placement after laparoscopic and robot-assisted pyeloplasty: Results of a prospective randomised single-centre study. BJU Int. 2014;113(6):931-5. https://doi.org/10.1111/bju.12... PMid:24472002.
24.
Abdelwahab M, Abdelaziz A, Aboulela W, et al. One week stenting after pediatric laparoscopic pyeloplasty; is it enough? J Pediatr Urol. 2020;16(1):98.E1-6. https://doi.org/10.1016/j.jpur... PMid:31786228.
25.
Sankova MV, Kytko OV, Vasil’ev YL, et al. Medical students’ reactive anxiety as a quality criterion for distance learning during the SARS-CoV-2 pandemic. Emerg Sci J. 2021;5:86-93. https://doi.org/10.28991/esj-2....
26.
Diachkova E, Corbella S, Taschieri S, Tarasenko S. Nonsurgical treatment of peri-implantitis: Case series. Dent J. 2020;8(3):78. https://doi.org/10.3390/dj8030... PMid:32727061 PMCid:PMC7557973.
| eISSN: | 2516-3507 |
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