V. Beloborodov, V. Vorobev, A. Kalyagin, Svetlana Sokolova, I. Shaderkin, M. Firsov, D. Laletin
{"title":"Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol","authors":"V. Beloborodov, V. Vorobev, A. Kalyagin, Svetlana Sokolova, I. Shaderkin, M. Firsov, D. Laletin","doi":"10.29333/ejgm/14020","DOIUrl":null,"url":null,"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.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":"21 21","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Electronic Journal of General Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29333/ejgm/14020","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
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.
目的：本研究旨在通过对输尿管盆腔交界处梗阻（UPJO）择期手术的比较研究，分析增强恢复方案（ERP）的有效性。方法：前瞻性研究纳入2018-2021年接受腹腔镜肾盂成形术的30例UPJO患者。结果：术后并发症很少发生：术后并发症很少发生，其发生频率和严重程度相当。UPJO复发的独立预测因素为脊柱骨软化>II期（HR 13.97; 95% CI 1.26; 154.8; p=0.032）、凝结物自排（HR 28.49; 95% CI 1.78；455.62；P=0.018）、手术操作时间>110分钟（HR 44.7；95% CI 3.95；505.4；P=0.002）和既往肾造瘘术（HR 1.07；95% CI 1.02；1.13；P=0.002）。结论在UPJO的手术治疗中，最好使用ERP，因为这样可以在取得可比效果的同时获得更好的治疗质量。
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