The minimally invasive open pyeloplasty

• Published in: Journal of pediatric urology 2006-08, Vol.2 (4), p.368-372
• Main Authors: Chacko, Job K., Koyle, Martin A., Mingin, Gerald C., Furness, Peter D.
• Format: Article
• Language: English
• Subjects: Hydronephrosis; Minimally invasive surgery; Pyeloplasty; Ureteropelvic junction obstruction
• ISSN: 1477-5131; 1873-4898
• DOI: 10.1016/j.jpurol.2006.05.001

The dismembered pyeloplasty is the operation of choice for ureteropelvic junction obstruction (UPJO). Recently, with the advent of improved minimally invasive techniques and equipment, laparoscopic dismembered pyeloplasty has gained popularity. We present our experience with a minimally invasive open pyeloplasty. A retrospective review of the last 5 years of consecutive open pyeloplasties was performed with regard to age, surgical operative time, length of hospital stay, need for postoperative narcotics and surgical success. Seventy-four patients had a dismembered pyeloplasty using an open flank incision: 34 patients (10 years). Mean surgical time for patients according to age was: 10 years, 134 ± 37.8 min. Mean incision sizes for the respective groups were 2.01 ± 0.50 cm, 1.93 ± 0.73 cm, 2.71 ± 1.55 cm and 3.5 ± 1.58 cm. The last 20 patients under 1 year of age had incisions of 1–1.5 cm. The majority of incisions were via a posterior subcostal muscle splitting approach. All patients received postoperative ketorolac and acetaminophen. Supplemental narcotics were not required in any patient less than 10 years old. All patients were discharged in