Publications by authors named "Philippe Pacheco"

2 Publications

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[Laparoscopic treatment of an isolated ureteropelvic junction disruption following blunt abdominal trauma].

Prog Urol 2006 Nov;16(5):620-2

Service d'Urologie, Hôpital Nord, Saint-Etienne, France.

Isolated disruption of the ureteropelvic junction following blunt abdominal trauma is rare, although not exceptional. The diagnosis may be delayed. CT-scan with excretory phase imaging is the usual mode of diagnosis. The urinary tract can be repaired by an ureteropyelic anastomosis over a stent. The authors report the first case of an isolated disruption of the ureteropelvic junction following blunt abdominal trauma repaired by retroperitoneal laparoscopy.
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November 2006

[Retroperitoneal laparoscopic pyeloplasty: retrospective study of 45 consecutive adult cases].

Prog Urol 2006 Sep;16(4):439-44

Service d'Urologie-Andrologie, CHU de Saint-Etienne, France.

Objective: To evaluate the results of retroperitoneal laparoscopic surgical repair of ureteropelvic junction (UPJ) syndrome.

Material And Methods: Retrospective study of 45 consecutive Küss-Anderson-Hynes laparoscopic pyeloplasties performed over a 4-year period (December 1998-November 2002) in adults (26 women, 19 men) with a mean age of 44.8 years (range: 16-83 years).

Results: The mean operating time was 138 minutes (range: 75-250 minutes). Open conversion was necessary in 3 cases: necrotic pyelitis, ectopic renal artery, posterior pelvic tear. The mean hospital stay was 6.1 days. With a mean follow-up of 19 months (range: 3-58 months), the clinical success rate was 97.6% and the success rate on IVU or scintigraphy was 83.3%.

Conclusion: This series confirms that laparoscopic pyeloplasty is a minimally invasive technique that gives better results than those of the various endopyelotomy techniques and equivalent results to those of open pyeloplasty with decreased morbidity.
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September 2006