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

DC Field Value Language
dc.contributor.author이용승-
dc.contributor.author이혜영-
dc.contributor.author임영재-
dc.contributor.author한상원-
dc.date.accessioned2015-01-06T16:53:44Z-
dc.date.available2015-01-06T16:53:44Z-
dc.date.issued2014-
dc.identifier.issn0022-3468-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98976-
dc.description.abstractPURPOSE: 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.statementOfResponsibilityopen-
dc.format.extent1166~1170-
dc.relation.isPartOfJOURNAL OF PEDIATRIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnastomotic Leak-
dc.subject.MESHDrainage-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHKidney Pelvis/physiopathology-
dc.subject.MESHKidney Pelvis/surgery*-
dc.subject.MESHMale-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHStents-
dc.subject.MESHTreatment Failure-
dc.subject.MESHUreteral Obstruction/physiopathology-
dc.subject.MESHUreteral Obstruction/surgery*-
dc.subject.MESHUrinary Diversion-
dc.subject.MESHUrologic Surgical Procedures/adverse effects*-
dc.subject.MESHUrologic Surgical Procedures/methods-
dc.titleThe risk factors and clinical significance of acute postoperative complications after unstented pediatric pyeloplasty: A single surgeon's experience.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorYong Seung Lee-
dc.contributor.googleauthorCho Nyeong Lee-
dc.contributor.googleauthorMyung Up Kim-
dc.contributor.googleauthorWon Sik Jang-
dc.contributor.googleauthorHyeyoung Lee-
dc.contributor.googleauthorYoung Jae Im-
dc.contributor.googleauthorSang Won Han-
dc.identifier.doi10.1016/j.jpedsurg.2013.11.003-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04285-
dc.contributor.localIdA03316-
dc.contributor.localIdA02980-
dc.contributor.localIdA03387-
dc.contributor.localIdA05268-
dc.relation.journalcodeJ01689-
dc.identifier.eissn1531-5037-
dc.identifier.pmid24952810-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0022346813008543-
dc.subject.keywordAnastomotic leakage-
dc.subject.keywordHydronephrosis-
dc.subject.keywordRadioisotope Renography-
dc.subject.keywordUrinary diversion-
dc.subject.keywordUrinoma-
dc.contributor.alternativeNameLee, Yong Seung-
dc.contributor.alternativeNameLee, Hye Young-
dc.contributor.alternativeNameIm, Young Jae-
dc.contributor.alternativeNameHan, Sang Won-
dc.contributor.affiliatedAuthorHan, Sang Won-
dc.contributor.affiliatedAuthorLee, Hye Young-
dc.contributor.affiliatedAuthorLee, Yong Seung-
dc.contributor.affiliatedAuthorIm, Young Jae-
dc.rights.accessRightsfree-
dc.citation.volume49-
dc.citation.number7-
dc.citation.startPage1166-
dc.citation.endPage1170-
dc.identifier.bibliographicCitationJOURNAL OF PEDIATRIC SURGERY, Vol.49(7) : 1166-1170, 2014-
dc.identifier.rimsid54320-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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