title: Comparison of surgical and functional outcomes of minimally invasive and open pyeloplasty.
abstract: OBJECTIVE
  To compare the surgical and functional outcomes of minimally invasive pyeloplasty versus open pyeloplasty.
  
  
  METHODS
  Between 2008 and 2010, 20 patients underwent transperitoneal minimally invasive (13 robot-assisted and 7 laparoscopic) pyeloplasty, and 22 patients underwent conventional open pyeloplasty. Operative and functional outcomes were compared between the minimally invasive and open pyeloplasty groups. The statistical analysis was performed using Fisher's exact test, unpaired t test, and Mann-Whitney U test.
  
  
  RESULTS
  The mean age was 31 years in the minimally invasive group and 27 years in the open group. The mean operative time was 131 minutes in the minimally invasive group and 128 minutes in the open group (P=.71). The estimated blood loss was 30 mL in the minimally invasive group and 108 mL in the open group (P=.001). The drain was removed after 1.75 days and 4.48 days in the minimally invasive and open groups, respectively (P=.001). The mean hospital stay was 1.94 days and 4.19 days in the minimally invasive and open groups, respectively (P=.001). Crossing vessels were observed in 21% of all patients, and the transposition of the ureter was performed in all patients with an anterior crossing vessel. One patient in each group had symptomatic and radiographic recurrence and persistently obstructed drainage pattern on diuretic renography. The radiographic and symptomatic success rate was 95% in the minimally invasive group and 95.5% in the open group.
  
  
  CONCLUSIONS
  Minimally invasive pyeloplasty has low morbidity, short length of stay, and less blood loss compared with open surgical repair. It is an effective and feasible minimally invasive treatment modality for ureteropelvic junction obstruction.
authors.affiliation: Department of Urology, Umraniye Teaching Hospital, Istanbul, Turkey. ugur@ugurboylu.com
authors.forename: Ugur
authors.initials: U
authors.lastname: Boylu
authors.forename: Cem
authors.initials: C
authors.lastname: Basatac
authors.forename: Turgay
authors.initials: T
authors.lastname: Turan
authors.forename: Fikret Fatih
authors.initials: FF
authors.lastname: Onol
authors.forename: Eyup
authors.initials: E
authors.lastname: Gumus
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D011446:Prospective Studies; D012371:Robotics; D016896:Treatment Outcome