Laparoscopic ureteropyeloanastomosis in the treatment of duplex system

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorHISANO, Marcelo
dc.contributor.authorDENES, Francisco T.
dc.contributor.authorBRITO, Artur H.
dc.contributor.authorLUCON, Marcos
dc.contributor.authorMACHADO, Marcos G.
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorSROUGI, Miguel
dc.date.accessioned2013-10-02T18:42:57Z
dc.date.available2013-10-02T18:42:57Z
dc.date.issued2012
dc.description.abstractPurpose: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. Materials and Methods: Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent. Results: Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function. Conclusion: Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.
dc.description.indexMEDLINE
dc.identifier.citationINTERNATIONAL BRAZ J UROL, v.38, n.2, p.235-241, 2012
dc.identifier.doi10.1590/S1677-55382012000200012
dc.identifier.issn1677-5538
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/2479
dc.language.isoeng
dc.publisherBRAZILIAN SOC UROL
dc.relation.ispartofInternational Braz J Urol
dc.rightsopenAccess
dc.rights.holderCopyright BRAZILIAN SOC UROL
dc.subjectlaparoscopy
dc.subjectkidney
dc.subjectcongenital abnormalities
dc.subject.otheripsilateral ureteroureterostomy
dc.subject.otherpartial nephrectomy
dc.subject.othercollecting system
dc.subject.otherectopic ureter
dc.subject.otherurinary-tract
dc.subject.otherchildren
dc.subject.otherduplication
dc.subject.otherexperience
dc.subject.otherpyeloureterostomy
dc.subject.othermanagement
dc.subject.wosUrology & Nephrology
dc.titleLaparoscopic ureteropyeloanastomosis in the treatment of duplex system
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcMARCELO HISANO
hcfmusp.contributor.author-fmusphcFRANCISCO TIBOR DENES
hcfmusp.contributor.author-fmusphcARTUR HENRIQUE BRITO
hcfmusp.contributor.author-fmusphcMARCOS LUCON
hcfmusp.contributor.author-fmusphcMARCOS GIANNETTI MACHADO
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.description.beginpage235
hcfmusp.description.endpage241
hcfmusp.description.issue2
hcfmusp.description.volume38
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed22555029
hcfmusp.origem.scieloSCIELO:S1677-55382012000200012
hcfmusp.origem.scopus2-s2.0-84865387880
hcfmusp.origem.wosWOS:000306550800021
hcfmusp.publisher.cityRIO DE JANEIRO
hcfmusp.publisher.countryBRAZIL
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Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/55