Journal article

Laparoscopic Pyeloplasty: A Comparison between the Transperitoneal and Retroperitoneal Approach during the Learning Curve

Hongjian Zhu, Cheng Shen, Xuesong Li, Xuren Xiao, Xianglong Chen, Qingjiang Zhang, Hua Wang, Zhisong He, Liqun Zhou



PURPOSE: To compare the transperitoneal and the retroperitoneal approach in the laparoscopic management of pelviureteric junction (PUJ) obstruction, and to find out which approach is preferable during the learning curve period at two different urologic centers. MATERIALS AND METHODS: We retrospectively evaluated 50 consecutive laparoscopic pyeloplasties performed by two urologists from different urologic centers during their learning curve period in laparoscopy. Each surgeon used a different approach: transperitoneal (group A) or retroperitoneal (group B). Timing for patient positioning, access to the operating field, ureter and PUJ isolation, PUJ suturing, total time of the surgery procedur..

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