Initial Experience With Laparoscopic Transvesical Ureteral Reimplantation at the Children’s Hospital of Philadelphia

Kutikov, Alexander; Guzzo, Thomas J.; Canter, Daniel; Casale, Pasquale

doi:10.1016/j.juro.2006.07.082

Cited by 122 publications

(53 citation statements)

References 11 publications

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“…In addition, the carbon dioxide within the bladder has no effect on the body's physiology. We also shared the views of Yeung et al [7] and Kutikov et al [11] that the use of transurethral feeding tube as a suction catheter was effective in clearing up urine or blood inside the bladder to provide a good surgical field.…”

Section: Discussionsupporting

confidence: 63%

“…Not only are the intramural dissection and suturing difficult, but the limited space within the bladder also represents another. Bladder contraction during the operation can also disrupt the surgical field [11]. To overcome this problem, carbon dioxide pneumovesicum up to a limited pressure was introduced by Yeung et al [7].…”

Section: Discussionmentioning

confidence: 99%

“…This is also the major indication for performing laparoscopic pneumovesical ureteric reimplantation in most of the published articles [7,8,11]. With the advance in endoscopic treatment of vesicoureteric reflux, ureteric reimplantation operation is sometimes considered not necessary.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review

Chung

Tang

Wong

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review

Chung

Tang

Wong

et al. 2008

Journal of Pediatric Surgery

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“…This is where minimal invasive laparoscopic techniques come in. Both intra-and extravesical laparoscopic approaches have been described [4][5][6] . This type of surgery can be technically challenging, but since the introduction of robot-assisted laparoscopy especially the extravesical Lich-Gregoir detrusorraphy technique seems a feasible and reasonable treatment option [7][8][9][10][11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Callewaert

Biallosterski²,

Rahnama’i³

et al. 2011

Urol Int

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Objectives: To evaluate technical aspects and outcome of robotic laparoscopic extravesical anti-reflux surgery in the treatment of high-grade vesicoureteral reflux (VUR) with associated complicating conditions. Materials and Methods: Retrospective database and chart reviews were performed to identify a subgroup of patients with high-grade VUR who underwent robot-assisted anti-reflux surgery using the extravesical Lich-Gregoir repair and who additionally had preoperatively known complicating factors. Five such patients were operated on from 2005 to 2009. All had bilateral VUR, bladder dysfunction, breakthrough infections, renal scarring or at least one of the following complicating factors: posterior urethral valve bladders, duplex systems or para-ostial diverticula. Outcome and surgical aspects were assessed. Results: At follow-up 9 of 10 ureters were free of reflux and diverticulae had disappeared completely. No lasting urinary retentions occurred but two boys needed reinsertion of a catheter for 24 h after surgery. No further complications were noted. There were no signs of obstruction, infections did not persist and there was no negative effect on bladder function. Dissection of para-ostial diverticula seemed the only additional technical challenge. Conclusions: Robot-assisted extravesical anti-reflux surgery seems a promising technique in the operative management of this unfavorable subset of patients. Reflux cure rate is higher than expected using injection therapy and at the same time morbidity seems lower than with open surgery. Further experience is needed to confirm these first impressions.

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“…Alternatively, surgery carries anesthetic and surgical risk. Complications include ureteric obstruction from either subureteric injection or ureteric reimplantation, resulting in invasive testing, surgeries, or renal failure [18,19]. However, the persistent impact on QOL is difficult to determine.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in children with vesicoureteral reflux

et al. 2011

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Vesicoureteral reflux (VUR) is commonly diagnosed in children presenting with urinary tract infections. Antibiotic prophylaxis and ureteric surgery are standard treatments for these children. Our aim was to investigate whether health-related quality of life (HRQOL) was altered in children treated for VUR. Children aged 1-5 years with grade III or higher VUR were identified through electronic records at the Stollery Children's Hospital. Parents of these children were mailed the TNO-AZL Netherlands Organisation for Applied Scientific Research Academic Medical Centre Quality of Life (TAPQOL) questionnaire. QOL scores for this group were compared with normative controls from the instrument's creators using the Mann-Whitney U test. Thirty-two of the 96 (33%) mailed surveys were returned. Eight children had surgery, and 19 were treated with antibiotic prophylaxis. When comparing the VUR group with the control group, we found that anxiety and social functioning scores were significantly better in patients with VUR (p < 0.01). The VUR group had worse scores in problem behavior, stomach complaints ,and communication (p < 0.01). This study reveals that children with VUR have a reasonable QOL when compared with controls. However, the diagnosis of VUR and its management does have an impact on gastrointestinal complaints, behavior, and communication, which may occur as a result of chronic medical intervention.

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Initial Experience With Laparoscopic Transvesical Ureteral Reimplantation at the Children’s Hospital of Philadelphia

Abstract: Laparoscopic intravesical reimplantation is in its infancy and appears to have higher complication rates in young patients with small bladder capacity.

Cited by 122 publications

References 11 publications

Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review

Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Quality of life in children with vesicoureteral reflux

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