Abstract | INTRODUCTION: Laparoscopy may have a place in the treatment of vesicoureteral reflux. In this study, we present the results of laparoscopic extravesical transperitoneal treatment in 15 children (19 ureters) of vesicoureteral reflux. MATERIALS AND METHODS: Between January 2001 and February 2004, 15 children (11 with unilateral and 4 with bilateral vesicoureteral reflux) were treated with extravesical reimplantation (Lich- Gregoir technique) via a transperitoneal laparoscopic approach. The mean age was 48.2 months (range 12-62), and there were 14 females and 1 male. Two patients had a double total collector system associated with reflux without ureterocele. RESULTS: CONCLUSION: Laparoscopic extravesical transperitoneal reimplantation for vesicoureteral reflux is a safe and effective approach even in bilateral simultaneous and duplex ureters, with success rates similar to the open technique, and a dramatic reduction in postoperative stay. Mucosal perforation was treated by maintaining a Foley catheter for 3-4 days postoperatively.
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Authors | Mario Riquelme, Arturo Aranda, Carlos Rodriguez |
Journal | Journal of laparoendoscopic & advanced surgical techniques. Part A
(J Laparoendosc Adv Surg Tech A)
Vol. 16
Issue 3
Pg. 312-6
(Jun 2006)
ISSN: 1092-6429 [Print] United States |
PMID | 16796449
(Publication Type: Journal Article)
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Topics |
- Child, Preschool
- Female
- Humans
- Infant
- Laparoscopy
(methods)
- Length of Stay
(statistics & numerical data)
- Male
- Pneumoperitoneum, Artificial
- Postoperative Complications
- Treatment Outcome
- Vesico-Ureteral Reflux
(surgery)
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