Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol-Reference-Cited by-同舟云学术

Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol

Published:2024-01-01 Issue:1 Volume:21 Page:em560
ISSN:2516-3507
Container-title:Electronic Journal of General Medicine
language:
Short-container-title:ELECTRON J GEN MED

Author:

Beloborodov Vladimir¹^ORCID,Vorobev Vladimir¹^ORCID,Kalyagin Alexey²^ORCID,Sokolova Svetlana¹^ORCID,Shaderkin Igor³^ORCID,Firsov Mikhail⁴^ORCID,Laletin Dmitrii⁴^ORCID

Affiliation:

1. Department of General Surgery, Irkutsk State Medical University, Irkutsk, RUSSIA

2. Department of Internal Medicine, Irkutsk State Medical University, Irkutsk, RUSSIA

3. E-Health Laboratory, I. M. Sechenov First Moscow State Medical University, Moscow, RUSSIA

4. Department of Urology, Andrology and Sexology, Krasnoyarsk State Medical University named after Professor V. F. Voino-Yasenetsky, Krasnoyarsk, RUSSIA

Abstract

Purpose: The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO). Methods: The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021. Results: Postoperative complications developed rarely, and their frequency and severity were comparable. Independent predictors of UPJO recurrence were the spine osteochondrosis >II period (HR 13.97; 95% CI 1.26; 154.8; p=0.032), the concretions self-discharge (HR 28.49; 95% CI 1.78; 455.62; p=0.018), surgical operation duration > 110 minutes (HR 44.7; 95% CI 3.95; 505.4; p=0.002) and previous nephrostomy (HR 1.07; 95% CI 1.02; 1.13; p=0.002). Conclusions: In the surgical treatment of UPJO, it is advisable to use ERPs, as this allows achieving a better treatment quality with comparable results.

Publisher

Modestum Ltd

Subject

General Medicine

Link

https://www.ejgm.co.uk/download/outcomes-of-laparoscopic-pyeloplasty-and-impact-of-an-enhanced-recovery-protocol-14020.pdf

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