title: [Laparoscopic pyeloplasty].
abstract: OBJECTIVE
  To review indications, results and endourologic alternatives to the pyeloplasty technique.
  
  
  METHODS
  We describe the surgical technique proposed by Schluesser et al., which was applied to 9 patients in our series. Another 4 patients underwent a simple laparoscopic pyelolisis.
  
  
  RESULTS
  Results obtained with laparoscopic dismembered pyeloplasties are completely comparable with those obtained with the conventional Anderson Hynes Pyeloplasty. Outcomes were very favourable in 7/9 patients in the series; another one shows a discrete improvement and the other one did not return for control. Is does not happen the same with pyelo-ureterolysis. Two of them had a good outcome, other two remain the same, and another one has not had his control yet.
  
  
  CONCLUSIONS
  After 8 years, laparoscopic pyeloplasty has consolidated as the elective technique in cases of recoverable hydronephrosis, secondary to crossing vessels or which have a redundant renal pelvis. A few important modifications to the technique have been proposed; exceptions are that it can also be done by retroperitoneoscopy and that in some cases equally good results may be obtained with the Fenger's laparoscopic pyeloplasty.
authors.affiliation: Servicio de Urología, Hospital Clínico Universitario Lozano Blesa, Avda. San Juan Bosco, 15, 50009 Zaragoza, España. uroh@hcu-lblesa.es
authors.forename: José Gabriel
authors.initials: JG
authors.lastname: Valdivia Uría
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Sánchez Elipe
authors.forename: Manuel
authors.initials: M
authors.lastname: Sánchez Zalabardo
mesh_terms: D000328:Adult; D004322:Drainage; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007415:Intestinal Obstruction / Q000209:etiology; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011704:Pyelonephritis / Q000209:etiology; D015607:Stents; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*