Mini-laparoscopic pyeloplasty.
Authors: Enrique Ramos Barselo, Ernesto Herrero Blanco, Mario Domínguez Esteban y José Luis Gutiérrez
Baños.
Arch. Esp. Urol. 2017; 70 (4): 475-479
Vol. 70, Number. 4, May 2017
Continued progresses in the field of
laparoscopy have been introduced in urological surgery.
With the development of smaller instrumental minilaparoscopy
was born seeking to reduce abdominal
trauma and improve cosmetic scars, obtaining similar or
better results than conventional laparoscopy.
OBJECTIVE: The objective of this paper is to evaluate
the results and reproducibility of mini-laparoscopic
pyeloplasty.
METHODS: A literature review and a bibliographic
search in PubMed were performed. We describe the
technique used in the “Hospital Marqués de Valdecilla”
(HUMV), Santander (Spain).
RESULTS: 60 articles about mini-laparoscopy were
found. Although there are few reported minilap
pyeloplasty series, they offer excellent cosmetic and
functional results.
We analyze operative time, complications, postoperative
hospital stay, conversion rate, functional and
cosmetic results, and we compare them with conventional
laparoscopic pyeloplasty.
CONCLUSIONS: More reported series are necessary
but it has been proved that minilap pyeloplasty is a
reproducible and safe technique with excellent results.
ONLY IN SPANISH.