Cited 15 times in
The risk factors and clinical significance of acute postoperative complications after unstented pediatric pyeloplasty: A single surgeon's experience.
DC Field | Value | Language |
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dc.contributor.author | 이용승 | - |
dc.contributor.author | 이혜영 | - |
dc.contributor.author | 임영재 | - |
dc.contributor.author | 한상원 | - |
dc.date.accessioned | 2015-01-06T16:53:44Z | - |
dc.date.available | 2015-01-06T16:53:44Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0022-3468 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98976 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1166~1170 | - |
dc.relation.isPartOf | JOURNAL OF PEDIATRIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Anastomotic Leak | - |
dc.subject.MESH | Drainage | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Kidney Pelvis/physiopathology | - |
dc.subject.MESH | Kidney Pelvis/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Stents | - |
dc.subject.MESH | Treatment Failure | - |
dc.subject.MESH | Ureteral Obstruction/physiopathology | - |
dc.subject.MESH | Ureteral Obstruction/surgery* | - |
dc.subject.MESH | Urinary Diversion | - |
dc.subject.MESH | Urologic Surgical Procedures/adverse effects* | - |
dc.subject.MESH | Urologic Surgical Procedures/methods | - |
dc.title | The risk factors and clinical significance of acute postoperative complications after unstented pediatric pyeloplasty: A single surgeon's experience. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Yong Seung Lee | - |
dc.contributor.googleauthor | Cho Nyeong Lee | - |
dc.contributor.googleauthor | Myung Up Kim | - |
dc.contributor.googleauthor | Won Sik Jang | - |
dc.contributor.googleauthor | Hyeyoung Lee | - |
dc.contributor.googleauthor | Young Jae Im | - |
dc.contributor.googleauthor | Sang Won Han | - |
dc.identifier.doi | 10.1016/j.jpedsurg.2013.11.003 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04285 | - |
dc.contributor.localId | A03316 | - |
dc.contributor.localId | A02980 | - |
dc.contributor.localId | A03387 | - |
dc.contributor.localId | A05268 | - |
dc.relation.journalcode | J01689 | - |
dc.identifier.eissn | 1531-5037 | - |
dc.identifier.pmid | 24952810 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0022346813008543 | - |
dc.subject.keyword | Anastomotic leakage | - |
dc.subject.keyword | Hydronephrosis | - |
dc.subject.keyword | Radioisotope Renography | - |
dc.subject.keyword | Urinary diversion | - |
dc.subject.keyword | Urinoma | - |
dc.contributor.alternativeName | Lee, Yong Seung | - |
dc.contributor.alternativeName | Lee, Hye Young | - |
dc.contributor.alternativeName | Im, Young Jae | - |
dc.contributor.alternativeName | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Lee, Hye Young | - |
dc.contributor.affiliatedAuthor | Lee, Yong Seung | - |
dc.contributor.affiliatedAuthor | Im, Young Jae | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 49 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1166 | - |
dc.citation.endPage | 1170 | - |
dc.identifier.bibliographicCitation | JOURNAL OF PEDIATRIC SURGERY, Vol.49(7) : 1166-1170, 2014 | - |
dc.identifier.rimsid | 54320 | - |
dc.type.rims | ART | - |
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