Laparoscopic Extravesical Ureteral Reimplantation in Adults Using Intracorporeal Freehand Suturing: Report of Two Cases

Kamat, Nagesh; Khandelwal, Pankaj

doi:10.1089/end.2005.19.486

Cited by 22 publications

(6 citation statements)

References 10 publications

(7 reference statements)

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“…The extravesical Lich-Gregoir procedure is used mostly in children to treat high grade VUR and in renal transplant surgery with reported high success rates in the literature (11,12 (14,15).…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

et al. 2017

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Background: Laparoscopic ureteral reimplantation is a feasible method for treating ureteral pathology with good preliminary results in the literature. In this study, we review medium term results for laparoscopic ureteral reimplantation and discuss current developments of this procedure.Methods: Medline and Embase databases were searched using relevant key terms to identify reports of paediatric laparoscopic extravesical ureteral reimplantation (LEVUR). Literature reviews, case reports, series of <3 children and adult studies (age >20 years) were excluded.Results: Five studies were assessed, overall, 69 LEVUR were performed in children. Despite different surgical technique, in all case the technique was respected. Patient demographics, preoperative symptoms, radiological imaging, complications, and postoperative outcomes were analyzed. Median success rate was 96%. Complications were reported in five cases.Conclusions: This study is limited by the data given in the individual series: varied criteria used for patient selection and outcome as well as inconsistent pre-and post-operative imaging data precluded a metaanalysis. But it demonstrates that the laparoscopic ureteral reimplantation is an effective procedure with good medium-term results. We believe that in well selected patients this procedure will become an established treatment option.

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Section: Resultsmentioning

confidence: 99%

“…Reddy and Evans reported the first procedure in an adult (18). In recent years, more laparoscopic and robotic ureteral reimplantation cases have been reported with good preliminary results in the literature (15,19).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

et al. 2017

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“…The main indication for ureteroneocystostomy in children is vesicoureteral reflux, whereas antireflux repair has not yet been considered to be important in adults [1,23] . This difference was observed probably because the procedure has become more complicated and because of fear that detrusorrhaphy will cause vesicoureteral obstruction.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Submucosal Tunneling Ureteroneocystostomy Combined with Psoas Hitch for Medium-Length Distal Ureteral Defects in Adults

Gong

Lu²,

Yan³

et al. 2016

Urol Int

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Objective: This study aims to describe the technique and feasibility of laparoscopic submucosal tunneling ureteroneocystostomy in combination with psoas hitch to restore urinary tract continuity in patients showing medium-length distal ureteral defects. Materials and Methods: From January 2012 to April 2016, a total of 13 patients (4 males and 9 females) with a mean age of 37 years were performed with the laparoscopic operation of ureteral submucosal tunneling reimplantation combined with psoas hitch. The mean defective length was 5.5 cm (range 4-8 cm). The etiologies included ureteral strictures secondary to endoscopic laser lithotripsy in 2 patients, previous gynecological surgeries in 4, infiltrative ureteral endometriosis in 3, as well as ureteral strictures without obvious causes in the remaining 4. Results: The operations were successfully performed in all patients. The mean operating time was 179 min (range 150-230 min). The mean estimated blood loss was 32 mL (range 15-80 mL). The mean drainage time was 5.8 days (range 4-8 days). No major complications occurred during the perioperative period. The mean follow-up time was 25 months. All patients experienced symptomatic relief and showed good urine drainage. Conclusion: Extravesical submucosal tunneling ureteroneocystostomy combined with psoas hitch under laparoscopy is a feasible and effective option for medium-length distal ureteral defects in selected patients.

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“…[11,12] There are various techniques available for ureteroneocystostomy, which in general have a high success rate of 92 to 98%. [8,[13][14][15][16][17][18][19] The Lich-Gregoir extravesical approach is the most commonly performed laparoscopic procedure for the treatment of ureteroneocystostomy. [8,13,14] When an adequate lower ureter length is not available, the vesico-psoas hitch is an option.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ureteroneocystostomy for management of lower ureteric strictures

Gupta¹,

Bansal²,

Bera³

et al. 2009

Urol Ann

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Aim:We assessed the results of laparoscopic transperitoneal ureteroneocystostomy with or without a psoas hitch for management of lower ureteral strictures. Materials and Methods: Between October 2005 and August 2008, 16 patients with lower ureteric strictures underwent laparoscopic ureteroneocystostomy with or without a psoas hitch. Etiology of strictures was gynecological surgery in 11, surgery for stone disease in 3, ureterovaginal fistula in 1 and primary obstructive megaureter in 1. Transperitoneal 3-or 4-port laparoscopic ureteroneocystostomy was performed with or without psoas hitch. Results: All operations were successfully completed without any need for conversion to open. Mean operative time was 171.56 min (range 130 to 260 min), mean blood loss was 93.44 cc (range 30 to 200 cc) and total hospital stay was 3.73 days (range 3 to 6 days). Mean time to resume oral intake was 12.5 h (range 8 to 22 h). Mean follow-up period was 21.83 months (range 6-39 months). Postoperative follow-up investigations revealed successful outcome in all 16 patients, success being defined as relief of symptoms and radiological improvement, irrespective of the refluxing status. Non-refluxing status was achieved in 15 out of 16 patients as determined by micturition cystography. Conclusions: Laparoscopic ureteroneocystostomy is a safe and effective procedure, with inherent advantages of laparoscopic surgery.

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Laparoscopic Extravesical Ureteral Reimplantation in Adults Using Intracorporeal Freehand Suturing: Report of Two Cases

Cited by 22 publications

References 10 publications

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

Laparoscopic Extravesical Submucosal Tunneling Ureteroneocystostomy Combined with Psoas Hitch for Medium-Length Distal Ureteral Defects in Adults

Laparoscopic ureteroneocystostomy for management of lower ureteric strictures

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