Does antegrade JJ stenting affect the total operative time during laparoscopic pyeloplasty? Laparoskopik pyeloplasti sırasında antegrat JJ stent yerleştirme, operasyon süresini etkiler mi?
Turkish Journal of Urology, cilt.43, sa.4, ss.497-501, 2017 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 43 Sayı: 4
- Basım Tarihi: 2017
- Doi Numarası: 10.5152/tud.2017.77775
- Dergi Adı: Turkish Journal of Urology
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.497-501
- Anahtar Kelimeler: Antegrade stenting, laparoscopic pyeloplasty, operative time, retrograde stenting
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: We aimed to show the effect of retrograde JJ stenting and intraoperative antegrade JJ stenting techniques on operative time in patients who underwent laparoscopic pyeloplasty. Material and methods: A total of 34 patients were retrospectively investigated (15 male and 19 female) with ureteropelvic junction obstruction. Of the patients stentized under local anesthesia preoperatively, as a part of surgery, 15 were retrogradely stentized at the beginning of the procedure (Group 1), and 19 were antegradely stentized during the procedure (Group 2). A transperitoneal dismembered pyeloplasty technique was performed in all patients. The two groups were retrospectively compared in terms of complications, the mean total operative time, and the mean stenting times. Results: The mean ages of the patients were 31.5±15.5 and 33.2±15.5 years (p=0.09), and the mean body mass indexes were 25.8±5.6 and 26.2.3±8.4 kg/m2 in Group 1 and Group 2, respectively. The mean total operative times were 128.9±38.9 min and 112.7±21.9 min (p=0.04); the mean stenting times were 12.6±5.4 min and 3.5±2.4 min (p=0.02); and the mean rates of catheterization-to-total surgery times were 0.1 and 0.03 (p=0.01) in Group 1 and 2, respectively. The mean hospital stays and the mean anastomosis times were similar between the two groups (p>0.05). Conclusion: Antegrade JJ stenting during laparoscopic pyeloplasty significantly decreased the total operative time.