Laparoscopic re-implantation of refluxing ureter in children: A feasibility study

Objective: To report our initial experience in the application of laparoscopy in the management of children with unilateral vesico-ureteric reflux (VUR) using the laparoscopic extravesical transperitoneal approach following the Lich–Gregoir technique, and to evaluate the results and benefits of this...

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Autores principales:	Haytham E. Badawy, Khaled Refaai, Ashraf S. Soliman, Samir S. Orabi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Megaureter Ureteric re-implantation Lich–Gregoir technique Vesico-ureteric reflux (VUR) Laparoscopic Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/f91c24fa91bf4cb998c4562abbbccdbb
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spelling	oai:doaj.org-article:f91c24fa91bf4cb998c4562abbbccdbb2021-12-02T10:50:51ZLaparoscopic re-implantation of refluxing ureter in children: A feasibility study2090-598X10.1016/j.aju.2016.11.004https://doaj.org/article/f91c24fa91bf4cb998c4562abbbccdbb2017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X16301000https://doaj.org/toc/2090-598XObjective: To report our initial experience in the application of laparoscopy in the management of children with unilateral vesico-ureteric reflux (VUR) using the laparoscopic extravesical transperitoneal approach following the Lich–Gregoir technique, and to evaluate the results and benefits of this technique for such patients. Patients and methods: Between February 2013 and August 2014, 17 children [13 girls and four boys, with a median (range) age of 60 (24–120) months] presented with recurrent febrile urinary tract infections and were diagnosed with unilateral VUR. They underwent transperitoneal extravesical laparoscopic ureteric re-implantation following the Lich–Gregoir technique. Postoperatively abdomino-pelvic ultrasonography was done at 1 month after surgery and voiding cystourethrography (VCUG) at 3 months after surgery, and in cases with persistent VUR or de novo contralateral VUR another VCUG was done at 6 months after surgery. Results: The median (range) operative time was 90 (80–120) min and the postoperative hospital stay was 2 (2–5) days. Intraoperative and postoperative complications were minimal. Patients were followed-up for a median (range) of 6 (3–21) months. All the children had complete resolution symptomatically and on VCUG, without further intervention. Conclusions: The laparoscopic extravesical transperitoneal approach for ureteric re-implantation, following the Lich–Gregoir technique, is feasible and very effective in the management of VUR. Prospective randomised studies are eagerly awaited to define the benefits of this technique to patients, as well as to determine the cost-effectiveness of this approach.Haytham E. BadawyKhaled RefaaiAshraf S. SolimanSamir S. OrabiTaylor & Francis GrouparticleMegaureterUreteric re-implantationLich–Gregoir techniqueVesico-ureteric reflux (VUR)LaparoscopicDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 48-52 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Megaureter Ureteric re-implantation Lich–Gregoir technique Vesico-ureteric reflux (VUR) Laparoscopic Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Megaureter Ureteric re-implantation Lich–Gregoir technique Vesico-ureteric reflux (VUR) Laparoscopic Diseases of the genitourinary system. Urology RC870-923 Haytham E. Badawy Khaled Refaai Ashraf S. Soliman Samir S. Orabi Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
description	Objective: To report our initial experience in the application of laparoscopy in the management of children with unilateral vesico-ureteric reflux (VUR) using the laparoscopic extravesical transperitoneal approach following the Lich–Gregoir technique, and to evaluate the results and benefits of this technique for such patients. Patients and methods: Between February 2013 and August 2014, 17 children [13 girls and four boys, with a median (range) age of 60 (24–120) months] presented with recurrent febrile urinary tract infections and were diagnosed with unilateral VUR. They underwent transperitoneal extravesical laparoscopic ureteric re-implantation following the Lich–Gregoir technique. Postoperatively abdomino-pelvic ultrasonography was done at 1 month after surgery and voiding cystourethrography (VCUG) at 3 months after surgery, and in cases with persistent VUR or de novo contralateral VUR another VCUG was done at 6 months after surgery. Results: The median (range) operative time was 90 (80–120) min and the postoperative hospital stay was 2 (2–5) days. Intraoperative and postoperative complications were minimal. Patients were followed-up for a median (range) of 6 (3–21) months. All the children had complete resolution symptomatically and on VCUG, without further intervention. Conclusions: The laparoscopic extravesical transperitoneal approach for ureteric re-implantation, following the Lich–Gregoir technique, is feasible and very effective in the management of VUR. Prospective randomised studies are eagerly awaited to define the benefits of this technique to patients, as well as to determine the cost-effectiveness of this approach.
format	article
author	Haytham E. Badawy Khaled Refaai Ashraf S. Soliman Samir S. Orabi
author_facet	Haytham E. Badawy Khaled Refaai Ashraf S. Soliman Samir S. Orabi
author_sort	Haytham E. Badawy
title	Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
title_short	Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
title_full	Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
title_fullStr	Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
title_full_unstemmed	Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
title_sort	laparoscopic re-implantation of refluxing ureter in children: a feasibility study
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/f91c24fa91bf4cb998c4562abbbccdbb
work_keys_str_mv	AT haythamebadawy laparoscopicreimplantationofrefluxingureterinchildrenafeasibilitystudy AT khaledrefaai laparoscopicreimplantationofrefluxingureterinchildrenafeasibilitystudy AT ashrafssoliman laparoscopicreimplantationofrefluxingureterinchildrenafeasibilitystudy AT samirsorabi laparoscopicreimplantationofrefluxingureterinchildrenafeasibilitystudy
_version_	1718396566078750720

Laparoscopic re-implantation of refluxing ureter in children: A feasibility study

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