Laparoscopic surgery of vesicoureteral reflux: An experience in 42 patients with the Lich-Gregoir extravesical technique

Castillo, Octavio A.; Zubieta, Ricardo; Yáñez, R.

doi:10.1016/j.acuroe.2013.04.006

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…Several surgeons have reported excellent outcomes with laparoscopic Lich–Gregoir ureteral reimplantation . The success rates were comparable with those of intravesical techniques, although voiding dysfunction was noted in some patients after open extravesical reimplantation .…”

Section: Discussionmentioning

confidence: 88%

“…were the first to describe laparoscopic extravesical reimplantation in humans . Since then, a number of endoscopic and laparoscopic ureteral reimplantation techniques have been developed to treat VUR and vesicoureteral junction obstruction . A novel minimally invasive cross‐trigonal ureteral reimplantation technique under pneumovesicum, reported by Yeung, is now widespread and has better success rates than open cross‐trigonal reimplantation …”

Section: Introductionmentioning

confidence: 99%

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Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

et al. 2015

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Objectives: To compare the outcomes of the Politano-Leadbetter and Cohen techniques in laparoscopic pneumovesicum approach for ureteral reimplantation. Methods: We retrospectively reviewed the medical records of 24 patients who underwent transvesicoscopic ureteral reimplantation during the period from 2007 to 2014. The patients were treated with either the Cohen or Politano-Leadbetter technique. Operative duration, duration of hospital stay, and success and complication rates were compared. Results: Operative duration was 1 h longer for the Politano-Leadbetter technique than for the Cohen technique (P < 0.05). Foley catheters were removed 2-3 days after the procedures. The mean hospital stay was 3.6 days. Reflux completely resolved in 21 patients (35 ureters, 94.6%), but not in two patients (2 ureters). There was no difference in the success rate or durations of catheterization or hospital stay between patients treated with the Politano-Leadbetter technique and those treated with the Cohen technique. Conclusions: The Politano-Leadbetter and Cohen techniques are both reliable for transvesicoscopic ureteral reimplantation. Despite a longer operative time, because of the higher surgical complexity, the Politano-Leadbetter ureteral reimplantation offers important physiological advantages over other techniques.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

et al. 2015

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“…Laparoscopic extravesical Lich-Gregoire reimplantation (LEVUR) has gained a widespread acceptance and several papers have reported resolution rates of 87-100% using this technique [3,13,16]. However, this procedure requires very advanced laparoscopic skills, in particular for intra-corporeal suturing and knot-tying and in addition it is associated with a very bad ergonomics for the surgeon, especially for bilateral repairs [13,17].…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted extravesical ureteral reimplantation (REVUR) for bilateral vesico-ureteral reflux in children: Results of a multicentric international survey

Esposito¹,

Masieri²,

Steyaert³

et al. 2019

European Urology Supplements

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Purpose This multicentric international retrospective study aimed to report the outcome of robot-assisted extravesical ureteral reimplantation (REVUR) in patients with unilateral vesico-ureteral reflux (VUR). Methods The medical records of 55 patients (35 girls, 20 boys) underwent REVUR in four international centers of pediatric robotic surgery for primary unilateral VUR were retrospectively reviewed. Patients' average age was 4.9 years. The preoperative grade of reflux was III in 12.7%, IV in 47.3% and V in 40%. Twenty-six patients (47.3%) presented a loss of renal function preoperatively and 10 (18.1%) had a duplex system. Results Average robot docking time was 16.2 min (range 5-30). Average total operative time was 92.2 min (range 50-170). No conversions or intra-operative complications were recorded. All patients had a bladder Foley catheter for 24 h post-operatively. Average hospital stay was 2 days (range 1-3). Average follow-up length was 28 months (range 9-60). We recorded three (5.4%) postoperative complications: 1 small urinoma resolved spontaneously (II Clavien) and 2 persistent reflux, only one requiring redo-surgery using endoscopic injection (IIIb Clavien). Conclusion REVUR is a safe and effective technique for treatment of primary unilateral VUR. The procedure is easy and fast to perform thanks to the 6° of freedom of robotic arms. The learning curve is short and it is useful to begin the robotics experience with a surgeon expert in robotic surgery as proctor on the 2nd robot console. The high cost and the diameter of instruments remain the main challenges of robotics applications in pediatric urology.

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“…'nı (11) 2013 yılında yayınladıkları, 42 hasta ve 50 üreter ameliyatını içeren çalışmada ise ameliyat süresi ortalama olarak 74 dk., başarı oranı ise %100 olarak bildirilmiştir.…”

Section: Mesane İçi̇ Gi̇ri̇şi̇mlerunclassified

Minimally invasive surgery in the management of vesicoureteral reflux

Emir¹

2016

tcdd

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Laparoscopic surgery of vesicoureteral reflux: An experience in 42 patients with the Lich-Gregoir extravesical technique

Cited by 5 publications

References 20 publications

Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

Robot-assisted extravesical ureteral reimplantation (REVUR) for bilateral vesico-ureteral reflux in children: Results of a multicentric international survey

Minimally invasive surgery in the management of vesicoureteral reflux

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