2 225

Cited 8 times in

The risk factors and clinical significance of acute postoperative complications after unstented pediatric pyeloplasty: A single surgeon's experience.

Authors
 Yong Seung Lee  ;  Cho Nyeong Lee  ;  Myung Up Kim  ;  Won Sik Jang  ;  Hyeyoung Lee  ;  Young Jae Im  ;  Sang Won Han 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.49(7) : 1166-1170, 2014 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2014
MeSH
Anastomotic Leak ; Drainage ; Female ; Follow-Up Studies ; Humans ; Infant ; Kidney Pelvis/physiopathology ; Kidney Pelvis/surgery* ; Male ; Retrospective Studies ; Risk Factors ; Stents ; Treatment Failure ; Ureteral Obstruction/physiopathology ; Ureteral Obstruction/surgery* ; Urinary Diversion ; Urologic Surgical Procedures/adverse effects* ; Urologic Surgical Procedures/methods
Keywords
Anastomotic leakage ; Hydronephrosis ; Radioisotope Renography ; Urinary diversion ; Urinoma
Abstract
PURPOSE: To analyze the risk factors and clinical significance of postoperative complications after unstented pediatric pyeloplasty. MATERIALS AND METHODS: We analyzed 285 kidney units (KUs) on which unstented pyeloplasty was performed between April 2002 and March 2010. Measures included preoperative factors, postoperative complications, change in postoperative differential renal function (DRF), and failure of pyeloplasty. Risk factors for acute complications requiring additional ureteral stenting and decreased DRF were analyzed. RESULTS: During a median follow-up period of 67.0 months, an additional ureteral stenting was required in 28 KUs (9.8%) due to the development of acute postoperative complications after unstented pyeloplasty. The incidence of complications increased significantly as preoperative DRF increased. DRF of more than 60% was the only independent risk factor for acute complications. Postoperative decrease in DRF was observed in 58 KUs (22.4%) among 259 KUs analyzed. Pyeloplasty failure was observed in 10 KUs (3.5%). The development of acute complications was not a risk factor for a decrease in DRF or pyeloplasty failure. CONCLUSIONS: Urinary diversion during pyeloplasty is not related to a decrease in DRF or pyeloplasty failure. However, in patients with a preoperative DRF of greater than 60%, diversion could be considered due to the high prevalence of complications.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346813008543
DOI
10.1016/j.jpedsurg.2013.11.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Yong Seung(이용승) ORCID logo https://orcid.org/0000-0003-3778-9888
Lee, Hye Young(이혜영)
Im, Young Jae(임영재)
Jang, Won Sik(장원식) ORCID logo https://orcid.org/0000-0002-9082-0381
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98976
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse