Özet:

Objective: The aim of this study is to retrospectively examine the data of 112 patients who had laparoscopic transperitoneal pyeloplasty LTPP or laparoscopic retroperitoneal pyeloplasty LRPP operations at our clinic due to primary ureteropelvic junction obstruction. Material and Methods: The data from patients who had standard laparoscopic pyeloplasty between January 2007 and January 2015 with a primary UPJ obstruction were examined. Comparative data from transperitoneal and retroperitoneal laparoscopic approaches were statistically analyzed. Results: Given the demographic and clinical characteristics of the patients 74 patients with transperitoneal, 38 patients with retroperitoneal surgery , there were no significant differences between the two groups. Mean operation duration was 149.52 minutes in the transperitoneal approach and 187.76 minutes in the retroperitoneal approach. Intracorporeal suturing was 66.4 minutes on average in the transperitoneal approach and 84.21 minutes in the retroperitoneal approach. The visual analogue scores, which were evaluated on postoperative days 1 and 2, the need for analgesics, and the length of stay in hospital were found to be higher in the group with LTPP compared to the LRPP group. One patient in each group had to undergo conversion to open surgery. Conclusion: The transperitoneal approach was found to be more advantageous than the retroperitoneal approach due to larger working area for the surgeon, easier and quicker intracorporeal suturing, easier control in the presence of aberrant blood vessels. On the other hand, the retroperitoneal approach was found to be superior to the transperitoneal approach with respect to gastrointestinal system findings, postoperative pain and shortness of the hospital stay duration. High rates of success were achieved in both groups in long-term follow-ups.

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