Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol
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


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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Article Type: Original Article

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


Publication date: 01 Jan 2024

Online publication date: 14 Dec 2023

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