{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:07:26Z","timestamp":1777921646857,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Objective:<\/jats:title>\n                    <jats:p>Laparoscopy is the most widely followed approach in ablative or reconstructive kidney surgeries. The aim of this study is to assess the utility and safety of laparoscopic approach in pelvic ectopic kidney surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between July 1, 2021 and June 30, 2022, 8 patients with pelvic kidneys; 4 with pelviureteric junction obstruction, 3 with pelvic stones, and 1 nonfunctioning kidney underwent laparoscopic pyeloplasty, pyelolithotomy, and nephrectomy, respectively. The records of all 8 patients were evaluated retrospectively for analyzing the operating time, blood loss, postoperative hospital stay, intra- and postoperative complications, surgical difficulty, and the success in completing the case laparoscopically. The patients were followed for at least 6 months to know the outcome. After pyeloplasty the improvement in function and drainage as well were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 8 cases, 6 (75%) were completed laparoscopically. One pyelolithotomy and 1 pyeloplasty patient were converted to open surgery. The median operative time was 180 (140\u2013240) minutes, median blood loss was 100 (50\u2013300) mL, and median hospital stay was 4 (3\u20136) days. One patient, who had open conversion, had Clavien grade I complication in the form of prolonged fever. Pyeloplasty patients at 6 months follow-up showed improvement in symptoms as well as function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The laparoscopic approach has obvious benefits in pelvic surgeries. Laparoscopy for ectopic pelvic kidneys are challenging due to abnormal anatomy of vessels and kidneys. Proper exposure of kidneys and exact identification of vessels can accomplish laparoscopic procedure in ectopic kidneys successfully with patients having nil complications and early convalescence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0146","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T10:54:02Z","timestamp":1688727242000},"page":"866-871","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Approach for Reconstructive and Ablative Procedures in Ectopic Pelvic Kidneys: A Challenge in 8 Cases"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5583-5713","authenticated-orcid":false,"given":"Ketan","family":"Mehra","sequence":"first","affiliation":[{"name":"Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh Kumar","family":"Bagriya","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranjal Ramanlal","family":"Modi","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Jamal","family":"Rizvi","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.9945"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35338-7"},{"issue":"3","key":"e_1_3_4_4_2","first-page":"1237","article-title":"GD, Bucura\u015f V, et al. Left crossed fused renal ectopia L-shaped kidney type, with double nutcracker syndrome (anterior and posterior)","volume":"55","author":"Pupca G","year":"2014","unstructured":"Pupca G, Micl\u0103u\u015f GD, Bucura\u015f V, et al. Left crossed fused renal ectopia L-shaped kidney type, with double nutcracker syndrome (anterior and posterior). Rom J Morphol Embryol, 2014; 55,(3 Suppl.):1237\u20131241.","journal-title":"Rom J Morphol Embryol"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)61591-X"},{"key":"e_1_3_4_6_2","unstructured":"Ritchey M. Anomalies of the kidney. In: Clinical Pediatric Urology. (Kelalis PP King LR Belman AB. eds.) Saunders: Philadelphia PA USA; 1992; pp. 500\u2013529."},{"key":"e_1_3_4_7_2","first-page":"329","article-title":"Renal position and fusion anomalies","volume":"75","author":"Arrieta MU","year":"2011","unstructured":"Arrieta MU, , Trapote RA, , Lizarraga DA. Renal position and fusion anomalies. Ann Pediatr (Barc), 2011; 75:329\u2013333; doi: 10.1016\/j.anpedi.2011.05.011","journal-title":"Ann Pediatr (Barc)"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.12659\/PJR.894603"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000093903"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.04.042"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2011.204"},{"key":"e_1_3_4_12_2","article-title":"Successful use of ectopic pelvic kidney for living related donation technical aspects and literature review","volume":"8286257","author":"Minnee RC","year":"2017","unstructured":"Minnee RC, , Kimenai HJAN, , van de Wetering J, et al. Successful use of ectopic pelvic kidney for living related donation technical aspects and literature review. Case Rep Transplant, 2017:8286257; doi: 10.1155\/2017\/8286257.","journal-title":"Case Rep Transplant"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2023.0146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:58:28Z","timestamp":1777665508000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2023.0146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,30]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9,1]]}},"alternative-id":["10.1089\/lap.2023.0146"],"URL":"https:\/\/doi.org\/10.1089\/lap.2023.0146","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,30]]}}}