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TRATAMIENTO DE LA ESTENOSIS PELVICO-URETERAL CON DISPOSITIVO ACUCISE®

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La endopielotomía con dispositivo Acucise es una de las técnicas preferidas por los urólogos como opción terapéutica alternativa en la obstrucción de la unión pieloureteral por su menor tiempo quirúrgico, menor morbilidad, hospitalización más corta y menor costo hospitalario.
biyani9.jpg Autor:
Chandra shekhar Biyani
Columnista Experto de SIIC
Artículos publicados por Chandra shekhar Biyani
Coautores
DR Basavaraj* Victor Palit** 
FRCS (Urol), Mid Yorkshire Hospitals NHS Trust, Wakefield, Reino Unido*
FRCS, Mid Yorkshire Hospitals NHS Trust, Wakefield, Reino Unido**
Recepción del artículo
30 de Enero, 2007 		Aprobación
23 de Marzo, 2007
Primera edición
13 de Noviembre, 2007 		Segunda edición, ampliada y corregida
28 de Marzo, 2008

TRATAMIENTO DE LA ESTENOSIS PELVICO-URETERAL CON DISPOSITIVO ACUCISE®

Resumen
La técnica de la endopielotomía con Acucise® se basa sobre el principio de la dilatación e incisión simultánea de una estrechez ureteral bajo control endoscópico sin necesidad de la ureteroscopia. Este procedimiento atrajo a muchos urólogos porque es fácil de aprender y puede realizarse como procedimiento ambulatorio con una experiencia endourológica mínima. La tasa de éxito para las distintas series es de 66% a 84% y la tasa de complicaciones graves en la mayoría de las series es baja (hemorragia, 0 a 4%). El dispositivo Acucise de nueva generación es más pequeño y por lo tanto su inserción es más fácil en ambos sexos. Aunque la endopielotomía con el dispositivo Acucise no iguala la tasa de éxito de la pieloplastia a cielo abierto, sigue siendo preferida por los urólogos como opción terapéutica alternativa en la obstrucción de la unión pieloureteral por su menor tiempo quirúrgico, menor morbilidad, hospitalización más corta y menor costo hospitalario.

Palabras clave
obstrucción de la unión pélvico-ureteral, endopielotomía, Acucise


Artículo completo
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Acucise® Endopyelotomy

Abstract
Acucise® endopyelotomy technique is based on the principle of simultaneous dilatation and incision of a ureteral narrowing under fluoroscopic guidance without the need for ureteroscopy. This procedure appealed to many urologists, as it is easy to learn, can be performed as an outpatient procedure with minimal endourological experience. The success rates for various series reports from 66-84% and serious complication rates for most series is low (bleeding-0-4%). The new generation acucise device is smaller and is therefore easy to insert in both sexes. Although acucise endopyelotomy does not match the success rate of open pyeloplasty, it is still preferred by urologists as an alternative treatment option in uretero-pelvic junction obstruction because of its reduced operative time, less morbidity, shorter hospitalisation and decreased cost to the hospital.

Key words
Acucise, pelviureteric junction obstruction, endopyelotomy


Full text
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Especialidades
Principal: Urología
Relacionadas: Cirugía, Obstetricia y Ginecología



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Chandra Shekhar Biyani, Mid Yorkshire Hospitals NHS Trust Pinderfields General Hospital Department of Urology, WF1 4DG, Aberford Road, Wakefield, Reino Unido
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