Laparoscopic Transposition of Lower-Pole Kidney Crossing Vessels: 5-Years Follow-up Study

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Junction obstruction in the ureter is a high-prevalence disorder and its standard treatment is dismembered method. This study aimed to evaluate laparoscopic transposition of lower-pole kidney crossing vessels in patients with ureteropelvic junction obstruction, before and after surgery, in a 5-years follow-up study.Methods: In this cross-sectional study, 24 patients with lower pole crossing vessels underwent laparoscopic surgery of transposition of crossing vessel were enrolled. For patients, diethylene triamine pentacaetic acid (DTPA) scan was performed before, and 1 and 6 month after the surgery and they were followed yearly for 5 years.Findings: Twenty four patients with a mean age of 28.04 ± 12.99 years (58.3% male) and 3.29 ± 0.69 days of stay in hospital, suffering from stenosis of ureteropelvic junction were enrolled. Mean blood loss was 151.99 ± 7.48 ml. In all the patients, kidney function improved after the surgery (the Moffitt surgery: 100%).Conclusion: Laparoscopic transposition of aberrant vessels has a success rate of a hundred percent in improving the renal function and it also has the lowest rate of complications and hemorrhage. Further studies with control groups are recommended to compare the results of this method with older methods, especially in people under the age of 2 years.

Keywords

References

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Journal of Isfahan Medical School
Volume 35, Issue 420 - Serial Number 420
January and February 2017
Pages 128-134

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History

  • Receive Date: 24 December 2016
  • Revise Date: 06 May 2024
  • Accept Date: 06 April 2022

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