A report, 'Excision of the dilated pelvis is not necessary in laparoscopic dismembered pyeloplasty,' is newly published data in European Journal of Pediatric Surgery. 'The surgical treatment of choice for significant hydronephrosis is dismembered pyeloplasty. While in open surgery, extensive resection of the dilated pelvis is common practice, laparoscopically usually only a sparing resection is performed,' scientists writing in the European Journal of Pediatric Surgery report (see also Pediatric Surgery).
'We compared the treatment results of both techniques to investigate whether extensive resection is necessary or not in dismembered pyeloplasty procedures. To obtain comparable renal units, matched pairs according to age and relative kidney uptake as shown by (123)J-orthoiodohippurate renography were selected out of a total of 76 patients who underwent dismembered pyeloplasty between 2000 and 2007. Twenty-four patients complied with the criteria for inclusion in the study. Changes in urinary drainage preoperatively and at three months postoperatively were compared between both groups. The mean age in the sparing resection group was 3.8 years (range 0.3 to 14 years); in the extensive resection group it was 3.4 years (range 0.5 to 10 years). Mean urinary drainage improved significantly in both groups from 35.1 [+ or -]10.7 % to 75.2 [+ or -]13.2 % (sparing resection) vs. 45.1 [+ or -]23.7 % to 70.2 [+ or -]22 % (extensive resection). There were no differences between the groups (p >0.05),' wrote M. Reismann and colleagues, Hannover Medical School, Department of Pediatric Surgery.
The researchers concluded: 'We conclude that extensive resection of the renal pelvis is not necessary in dismembered pyeloplasty procedures since there were no differences in the renographic outcome of comparable patients treated by the different surgical methods.'
Reismann and colleagues published their study in European Journal of Pediatric Surgery (Excision of the dilated pelvis is not necessary in laparoscopic dismembered pyeloplasty. European Journal of Pediatric Surgery, 2008;18(1):19-21).
Additional information can be obtained by contacting M. Reismann, Hannover Medical School, Dept. of Pediatric Surgery, Hannover, Germany.
The publisher of the European Journal of Pediatric Surgery can be contacted at: Georg Thieme Verlag kg, Rudigerstr 14, D-70469 Stuttgart, Germany.
Keywords: Germany, Hannover, Hydronephrosis, Kidney, Nephrology, Pediatric Surgery, Therapy, Treatment, Urology.
This article was prepared by Health & Medicine Week editors from staff and other reports. Copyright 2008, Health & Medicine Week via NewsRx.com.
