Laparoscopic Stepwise-Cut Double Initial Stay Suture Pyeloplasty: Our Novel Surgical Technique

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dc.contributor.authorAteş, Mutlu
dc.contributor.authorÖzgök, Yaşar
dc.contributor.authorAkın, Yiğit
dc.contributor.authorArslan, Murat
dc.contributor.authorAkand, Murat
dc.contributor.authorHoşcan, Mustafa Burak
dc.date.accessioned2020-03-26T19:06:15Z
dc.date.available2020-03-26T19:06:15Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: To describe a novel surgical technique, laparoscopic stepwise-cut double initial stay suture (LASDISS) pyeloplasty for ureteropelvic junction obstruction (UPJO). Additionally, we evaluated the safety and short-term results. Materials and Methods: This was a nonrandomized study with a series of 6 patients with UPJO, operated on between March 2012 and August 2013. Perioperative and short-term outcomes were evaluated. In brief, a "T shape cut" was performed from the dilated pelvis to the ureter. The initial stay suture was placed between the lower edge of the pelvis and the distal end of the spatulated anterolateral part of the ureter. The pelvis was closed with a continuous suture starting from the opened upper edge of the pelvis that was secured after leaving enough space for ureteral anastomosis. The second initial stay suture was placed after passing the ureter and pelvis two times. The dilated part of the renal pelvis and the stenotic segment were excised. A double-J stent was inserted. The remaining space between the two initial sutures was closed with these continuous sutures. Results: We performed the LASDISS pyeloplasty technique in all cases. Median operation time was 177 minutes (range, 100-290 minutes). Mean follow-up was 7.5 months (range, 3-18 months). The mean pre- and postoperative split renal function on diuretic renography was 33% (range, 25%-56%) and 42% (range, 30%-52%), respectively. Conclusions: The LASDISS pyeloplasty surgical technique represents a safe and effective option in surgical treatment of UPJO.en_US
dc.identifier.doi10.1089/lap.2014.0552en_US
dc.identifier.endpage233en_US
dc.identifier.issn1092-6429en_US
dc.identifier.issn1557-9034en_US
dc.identifier.issue3en_US
dc.identifier.pmid25654272en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage228en_US
dc.identifier.urihttps://dx.doi.org/10.1089/lap.2014.0552
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32291
dc.identifier.volume25en_US
dc.identifier.wosWOS:000350823800011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMARY ANN LIEBERT, INCen_US
dc.relation.ispartofJOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleLaparoscopic Stepwise-Cut Double Initial Stay Suture Pyeloplasty: Our Novel Surgical Techniqueen_US
dc.typeArticleen_US

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