Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol
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Vladimir Beloborodov 1 * , Vladimir Vorobev 1 , Alexey Kalyagin 2 , Svetlana Sokolova 1 , Igor Shaderkin 3 , Mikhail Firsov 4 , Dmitrii Laletin 4
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1 Department of General Surgery, Irkutsk State Medical University, Irkutsk, RUSSIA2 Department of Internal Medicine, Irkutsk State Medical University, Irkutsk, RUSSIA3 E-Health Laboratory, I. M. Sechenov First Moscow State Medical University, Moscow, RUSSIA4 Department of Urology, Andrology and Sexology, Krasnoyarsk State Medical University named after Professor V. F. Voino-Yasenetsky, Krasnoyarsk, RUSSIA* Corresponding Author

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.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, 2024, Volume 21, Issue 1, Article No: em560

https://doi.org/10.29333/ejgm/14020

Publication date: 01 Jan 2024

Online publication date: 14 Dec 2023

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