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Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes

CONTEXT: Long-term outcome following a laparoscopic reconstruction of ureteral strictures (US) involving solitary renal units (SRU) are scarcely reported. AIMS: The aim was to report short-term (1 year) and long-term (5 years) outcomes following a laparoscopic reconstruction of US in a solitary kidn...

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Autores principales: Abraham, George P., Das, Krishanu, Siddiaiah, Avinash T., Ramaswami, Krishnamohan, George, P. Datson, Abraham, Jisha J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640021/
https://www.ncbi.nlm.nih.gov/pubmed/26622112
http://dx.doi.org/10.4103/0972-9941.144095
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author Abraham, George P.
Das, Krishanu
Siddiaiah, Avinash T.
Ramaswami, Krishnamohan
George, P. Datson
Abraham, Jisha J.
author_facet Abraham, George P.
Das, Krishanu
Siddiaiah, Avinash T.
Ramaswami, Krishnamohan
George, P. Datson
Abraham, Jisha J.
author_sort Abraham, George P.
collection PubMed
description CONTEXT: Long-term outcome following a laparoscopic reconstruction of ureteral strictures (US) involving solitary renal units (SRU) are scarcely reported. AIMS: The aim was to report short-term (1 year) and long-term (5 years) outcomes following a laparoscopic reconstruction of US in a solitary kidney. SETTINGS AND DESIGN: Retrospective. MATERIALS AND METHODS: Records of patients operated for similar scenarios between January 2004 and January 2014 were evaluated. Clinical, biochemical and radiological profile were noted. Operative and post-operative profile were recorded. Follow-ups were scheduled at regular intervals (3 months post-procedure, 6 monthly for 2 years and yearly thereafter. Imaging was repeated at yearly intervals). Outcome was assessed by comparing pre-operative and post-operative clinical, biochemical, and radiological parameters. STATISTICAL ANALYSIS USED: SAS software 9.2 version. A P < 0.05 was inferred as statistically significant. RESULTS: Seven patients underwent a laparoscopic reconstruction. Stricture location was upper ureter (n = 1), mid ureter (n = 2), lower ureter (n = 4). Surgeries performed were ureteroureterostomy, Boari flap ureteroneocystostomy and ureteroneocystostomy with psoas hitch. Four patients reported prior contralateral nephrectomy. Three patients underwent prior endoscopic correction. Four patients presented with elevated serum creatinine (>1.4 mg/dl). Till last follow-up, improvement in symptomatology and improvement or stabilisation of serum creatinine was perceived in all. Ureteral patency with resolution of hydronephrosis was observed in five patients at 1 year follow-up. Two patients revealed ureteral patency with persistence of hydronephrosis. Clinical, biochemical and radiological outcomes were maintained till long-term follow-up. CONCLUSION: Laparoscopic reconstruction of US in SRU offers impressive short- and long-term outcome.
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spelling pubmed-46400212015-11-30 Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes Abraham, George P. Das, Krishanu Siddiaiah, Avinash T. Ramaswami, Krishnamohan George, P. Datson Abraham, Jisha J. J Minim Access Surg Original Article CONTEXT: Long-term outcome following a laparoscopic reconstruction of ureteral strictures (US) involving solitary renal units (SRU) are scarcely reported. AIMS: The aim was to report short-term (1 year) and long-term (5 years) outcomes following a laparoscopic reconstruction of US in a solitary kidney. SETTINGS AND DESIGN: Retrospective. MATERIALS AND METHODS: Records of patients operated for similar scenarios between January 2004 and January 2014 were evaluated. Clinical, biochemical and radiological profile were noted. Operative and post-operative profile were recorded. Follow-ups were scheduled at regular intervals (3 months post-procedure, 6 monthly for 2 years and yearly thereafter. Imaging was repeated at yearly intervals). Outcome was assessed by comparing pre-operative and post-operative clinical, biochemical, and radiological parameters. STATISTICAL ANALYSIS USED: SAS software 9.2 version. A P < 0.05 was inferred as statistically significant. RESULTS: Seven patients underwent a laparoscopic reconstruction. Stricture location was upper ureter (n = 1), mid ureter (n = 2), lower ureter (n = 4). Surgeries performed were ureteroureterostomy, Boari flap ureteroneocystostomy and ureteroneocystostomy with psoas hitch. Four patients reported prior contralateral nephrectomy. Three patients underwent prior endoscopic correction. Four patients presented with elevated serum creatinine (>1.4 mg/dl). Till last follow-up, improvement in symptomatology and improvement or stabilisation of serum creatinine was perceived in all. Ureteral patency with resolution of hydronephrosis was observed in five patients at 1 year follow-up. Two patients revealed ureteral patency with persistence of hydronephrosis. Clinical, biochemical and radiological outcomes were maintained till long-term follow-up. CONCLUSION: Laparoscopic reconstruction of US in SRU offers impressive short- and long-term outcome. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4640021/ /pubmed/26622112 http://dx.doi.org/10.4103/0972-9941.144095 Text en Copyright: © 2015 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Abraham, George P.
Das, Krishanu
Siddiaiah, Avinash T.
Ramaswami, Krishnamohan
George, P. Datson
Abraham, Jisha J.
Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title_full Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title_fullStr Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title_full_unstemmed Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title_short Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
title_sort laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640021/
https://www.ncbi.nlm.nih.gov/pubmed/26622112
http://dx.doi.org/10.4103/0972-9941.144095
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