V2094 SMALL INCISION ACCESS RETROPERITONEOSCOPIC TECHNIQUE (SMART) FOR PYELOPLASTY

Abstract

You have accessJournal of UrologySingle Port Surgery1 Apr 2011V2094 SMALL INCISION ACCESS RETROPERITONEOSCOPIC TECHNIQUE (SMART) FOR PYELOPLASTY Ali Serdar Gözen, Giovannalberto Pini, Michael Schulze, and Jens Rassweiler Ali Serdar GözenAli Serdar Gözen Heilbronn, Germany More articles by this author , Giovannalberto PiniGiovannalberto Pini Heilbronn, Germany More articles by this author , Michael SchulzeMichael Schulze Heilbronn, Germany More articles by this author , and Jens RassweilerJens Rassweiler Heilbronn, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2391AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic pyeloplasty for UPJ obstruction has been demonstrated to be safe and effective. In an attempt to further reduce surgical morbidity and better cosmetic results new technical developments with transperitoneal access are introduced. In this video we share our experience of performing a retroperitoneal pyeloplasty with SMART. METHODS 26 years old female presented with right flank pain. Kidney sonography revealed a right hydronephrosis and a scintighrapy 45% shared function of this kidney. A retrograde ureterogram was performed and pigtail catheter was placed. Doppler sonograpy demonstrated crossing aberrant lower pole vessels. Retroperitoneal space was created with specially designed 5 mm balloon trocar. An improved 5mm 30°optic, HD wide-view camera system, a 5 mm Optic port, two 3mm working ports, and special developed 3 mm instruments (Storz®) are used. The ports are triangulated like in a standard retroperitoneal technique and a retroperitoneal Y-V pyeloplasty was performed. RESULTS The operation time was 58 minutes; no intraoperative or postoperative complications were occurred. Blood loss was minimal. No stitch was necessary for the trocar wounds and no analgesics were needed during the postoperative period. Drain was removed on the 3th day and the patient was discharged from the hospital during the same day. The wound healing was almost scarless. CONCLUSIONS The SMART procedure for UPJ obstruction seems like safe and effective in experienced hands. The advantages of SMART are minimum access trauma, less postoperative pain and optimal cosmetic result. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e837 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ali Serdar Gözen Heilbronn, Germany More articles by this author Giovannalberto Pini Heilbronn, Germany More articles by this author Michael Schulze Heilbronn, Germany More articles by this author Jens Rassweiler Heilbronn, Germany More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...