[Laparoscopic pyeloplasty].
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.
Valdivia Uría
José Gabriel
JG
Servicio de Urología, Hospital Clínico Universitario Lozano Blesa, Avda. San Juan Bosco, 15, 50009 Zaragoza, España. uroh@hcu-lblesa.es
Sánchez Elipe
Miguel Angel
MA
Sánchez Zalabardo
Manuel
M
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*