Comparative Study Between Two Techniques of Ureteroneocystostomy: Taguchi and Lich-Gregoir

Moreira, Pedro; Parada, B.; Figueiredo, Arnaldo; Maia, N.; Nunes, Pedro; Bastos, C.; Mota, A.

doi:10.1016/j.transproceed.2007.07.041

Cited by 20 publications

(16 citation statements)

References 9 publications

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“…). Twenty‐six studies (12 947 patients) were included in this systematic review, of which two RCTs and 24 observational studies . Study sizes varied between 70 and 2548 patients.…”

Section: Resultsmentioning

confidence: 99%

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Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis

et al. 2014

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SummaryNo consensus exists about which ureterovesical anastomosis technique to use for kidney transplantation. The aim of this systematic review was to compare the existing techniques in relation to the risk of urological complications. All studies that compared ureterovesical anastomotic techniques in kidney transplantation were included. Study endpoints were urinary leakage, ureteral stricture, vesicoureteral reflux and hematuria. Subanalyses of stented and nonstented techniques were performed. Two randomized clinical trials and 24 observational studies were included. Meta-analyses were performed on the Lich-Gregoir (LG) versus Politano-Leadbetter (PL) techniques and LG versus U-stitch (U) techniques. Compared with the PL technique, the LG technique had a significantly lower prevalence of urinary leakage (risk ratio (RR): 0.47, 95% confidence interval (CI): 0.30 to 0.75) and a significantly lower prevalence of hematuria when compared with both PL and U techniques (RR: 0.28, 95% CI: 0.16 to 0.49 and RR: 0.23, 95% CI: 0.11 to 0.50, respectively), regardless of ureteral stenting. There was no difference in the prevalence of ureteral strictures or vesicoureteral reflux between the various techniques. Of the three most frequently used ureterovesical anastomotic techniques, the LG technique results in fewer urological complications than the PL and U techniques.

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“…). Twenty‐six studies (12 947 patients) were included in this systematic review, of which two RCTs and 24 observational studies . Study sizes varied between 70 and 2548 patients.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty‐three studies were included in the meta‐analyses (Table ) . Data were pooled for the LG versus PL comparison and for the LG versus U comparison . The mean prevalence of outcome variables is presented in Table .…”

Section: Resultsmentioning

confidence: 99%

Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis

et al. 2014

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“…A low-steroid protocol and meticulous surgical technique decreases the incidence [21] and the use of old graft donors increases it. Different techniques for the ureterovesical anastomosis have been described, however they do not affect the incidence of complications [22]. Stenosis and fistula are the main causes and managed with open surgery.…”

Section: Discussionmentioning

confidence: 99%

Outcomes and Surgical Complications in Kidney Transplantation

Reyna-Sepúlveda¹

2016

J Transplant Res

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“…The majority of these complications are related to vesicoureteral implantation site [6,7]. A variety of urinary tract reconstructive methods have been proposed and compared to find an ideal method with minimum urinary complications and better surgical characteristics [2][3][4][7][8][9][10][11][12]. Today, ureteroneocystostomy is the most common urinary tract reconstructive method utilized in kidney transplantation [3,9,10,13] and divided to extravesical and intravesical methods and on the other hand techniques that employ the antireflux mechanisms and those who don't [2].…”

Section: Introductionmentioning

confidence: 99%

“…Lich-Gregoir (LG) is a commonly used extravesical ureteroneocystostomy technique in which the ureter is sutured to the mucosal layer of the bladder and detrusor musculature closes over the implanted ureter to function as an antireflux mechanism [2,4,[7][8][9]. In recent years at our center, along with the LG technique a lesser known extravesicle ureteroneocystostomy technique has been utilized in which the ureter is continuously sutured directly to the full thickness of the bladder without any additional closure of the musculature to serve as an antireflux mechanism.…”

Section: Introductionmentioning

confidence: 99%

A Comparison between Two Kidney Transplant Ureteroneocystostomy Techniques: Full-Thickness Single Layer Anastomosis and Lich-Gregoir

Sanei¹,

Hashemi²,

Tabataei³

et al. 2017

J Univer Surg

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Urinary complications such as urine leak, stricture, ureteric obstruction and vesicoureteral reflux are the most common technical adverse events following A variety of urinary tract reconstructive methods have been proposed and compared to find an ideal method with minimum urinary complications. Today, ureteroneocystostomy is the most common urinary tract reconstructive method utilized in kidney transplantation. The main aim of the present study was to compare urologic complications following the use of FTSL and LG techniques in kidney transplant ureteroneocystostomy in a clinical trial study.

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Comparative Study Between Two Techniques of Ureteroneocystostomy: Taguchi and Lich-Gregoir

Cited by 20 publications

References 9 publications

Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis

Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis

Outcomes and Surgical Complications in Kidney Transplantation

A Comparison between Two Kidney Transplant Ureteroneocystostomy Techniques: Full-Thickness Single Layer Anastomosis and Lich-Gregoir

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