MODIFIED SINGLE-SIDED LAPAROSCOPIC EXTRAVESICAL ANTIREFLUX OPERATION

Cover Page


Cite item

Full Text

Abstract

Introduction. Laparoscopic techniques have been applied to ensure surgical treatment of the vesicoureteral reflux (VUR) in children during the last decades. We present the experience of using the laparoscopic extravesical antireflux standard and ureter-fixed modified surgery.

Materials and methods. A multi-center prospective experimental clinical historical cohort two-group study of patients with III–V stage primary VUR. The basic group consisted of 48 children who had a unilateral laparoscopic extravesical surgery when the ureter was fixed according to the developed technique. 44 children who had a surgery according to the standard technique were included into the control group.

Results. Complete VUR removal was noted in 100% of patients from the basic group and 81.2% of patients from the control group (р <0.01). Preservation of the megaureter with complete reflux resolution was seen in 1 child only (2.1%) from the basic group who had V stage VUR (p=0.2).

Conclusions. Laparoscopic extravesical antireflux is a safe and effective surgery. Distal ureter fixation reduces the rate of VUR recurrences.

About the authors

V. I. Dubrov

2nd Children’s Hospital

Author for correspondence.
Email: dubroff2000@mail.ru

Vitaliy I. Dubrov – Ph. D. Head of the Department of Urology

Grushevskaya str., 91–169, Minsk

Belarus

S. G. Bondarenko

Emergency Care Hospital №7

Email: sergebondarenko@ramler.ru

Sergey G. Bondarenko – Ph. D. Head of the Department of Urology, Clinical

Volgograd

Russian Federation

I. M. Kagantsov

Republican Children’s Clinical Hospital;
Syktyvkar State University named after Pitirim Sorokin

Email: ilkagan@rambler.ru

Ilya M. Kagantsov – Dr. Med. Sci., Professor at the Department of Surgical Diseases, Pitirim Sorokin Syktyvkar State University, Head of Department of Urology, Republican Children’s Clinical Hospital

Sysol’skoye Hghw., 17‑1‑125, Syktyvkar

Russian Federation

References

  1. Riedmiller H. and Gerharz E. W. Antireflux surgery: Lich-Gregoir extravesical ureteric tunnelling // BJU Int. 2008; 101 (11): 1467–1482.
  2. Gregoir W. Congenital vesico-ureteral reflux // Acta Urol Belg. 1962; 30:286–300.
  3. Lich R. Jr, Howerton L. W., Davis L. A. Ureteral reflux, its significance and correction // South Med J. 1962; 55: 633–635.
  4. Houle A. M., McLorie G. A., Heritz D. M., McKenna P. H., Churchill B. M., Khoury A. E. Extravesical nondismembered ureteroplasty with detrusorrhaphy: a renewed technique to correct vesicoureteral reflux in children // J Urol. 1992; 148 (2 Pt 2): 704–707.
  5. Palmer J. S. Extravesical ureteral reimplantation: an outpatient procedure // J Urol. 2008; 180 (4 Suppl): 1828–1831.
  6. Wacksman J., Gilbert A., Sheldon C. A. Results of the renewed extravesical reimplant for surgical correction of vesicoureteral reflux // J Urol. 1992; 148 (2 Pt 1): 359–361.
  7. Zaontz M. R., Maizels M., Sugar E. C., Firlit C. F. Detrusorrhaphy: extravesical ureteral advancement to correct vesicoureteral reflux in children // J Urol. 1987; 138 (4 Pt 2): 947–949.
  8. McDougall E. M., Urban D. A., Kerbl K., Clayman R. V., Fadden P., Royal H. D., Chandhoke P. S., Stone A. M. Laparoscopic repair of vesicoureteral reflux utilizing the Lich-Gregoir technique in the pig model // J Urol. 1995; 153 (2): 497–500.
  9. Schimberg W., Wacksman J., Rudd R., Lewis A. G., Sheldon C. A. Laparoscopic correction of vesicoureteral reflux in the pig // J Urol. 1994; 151 (6): 1664–1667.
  10. Bayne A. P., Shoss J. M., Starke N. R., Cisek L. J. Single-center experience with pediatric laparoscopic extravesical reimplantation: safe and effective in simple and complex anatomy // J Laparoendosc Adv Surg Tech A. 2012; 22 (1): 102–106.
  11. Kawauchi A., Fujito A., Soh J., Ukimura O., Mizutani Y., Miki T. Laparoscopic correction of vesicoureteral reflux using the Lich-Gregoir technique: initial experience and technical aspects // Int J Urol. 2003; 10 (2): 90–93.
  12. Lakshmanan Y., Fung L. C. Laparoscopic extravesicular ureteral reimplantation for vesicoureteral reflux: recent technical advances // J Endourol. 2000; 14 (7): 589–593.
  13. Lopez M., Varlet F. Laparoscopic extravesical transperitoneal approach following the Lich – Gregoir technique in the treatment of vesicoureteral reflux in children // J Pediatr Surg. 2010; 45 (4): 806–810.
  14. Riquelme M., Aranda A., and Rodriguez C. Laparoscopic extravesical transperitoneal approach for vesicoureteral reflux // J Laparoendosc Adv Surg Tech A. 2006; 16 (3): 312–316.
  15. Tsai Y. C., Wu C. C., Yang S. S. Minilaparoscopic nerve-sparing extravesical ureteral reimplantation for primary vesicoureteral reflux: a preliminary report // J Laparoendosc Adv Surg Tech A. 2008; 18 (5): 767–770.
  16. Shu T., Cisek L. J. Jr, Moore R. G. Laparoscopic extravesical reimplantation for postpubertal vesicoureteral reflux // J Endourol. 2004; 18 (5): 441–446.
  17. Kojima Y., Mizuno K., Umemoto Y., Yasui T., Hayashi Y., Kohri K. Ureteral Advancement in Patients Undergoing Laparoscopic Extravesical Ureteral Reimplantation for Treatment of Vesicoureteral Reflux // J Urol. 2012; 188 (2): 582–587.
  18. Gundeti M. S., Boysen W. R., Shah A. Robot-assisted Laparoscopic Extravesical Ureteral Reimplantation: Technique Modifications Contribute to Optimized Outcomes // Eur Urol. 2016; 70 (5): 818–823. 6. Hendren W. H. Reoperation for the failed ureteral reimplantation // J Urol. 1974; 111 (3): 403–411. (это что и что тут делает???)
  19. Herz D., Fuchs M., Todd A., McLeod D., Smith J. Robotassisted laparoscopic extravesical ureteral reimplant: a critical look at surgical outcomes // J Pediatr Urol. 2016; 12 (6):402‑e1–402‑e9.
  20. Hendren W. H. Reoperation for the failed ureteral reimplantation // J Urol. 1974; 111 (3): 403–411.
  21. Smith R. P., Oliver J. L., Peters C. A. Pediatric robotic extravesical ureteral reimplantation: comparison with open surgery // J Urol. 2011; 185 (5): 1876–1881.
  22. Kasturi S., Sehgal S. S., Christman M. S., Lambert S. M., Casale P. Prospective long-term analysis of nerve-sparing extravesical robotic-assisted laparoscopic ureteral reimplantation // Urology. 2012; 79 (3): 680–683.
  23. Casale P., Patel R. P., Kolon T. F. Nerve sparing robotic extravesical ureteral reimplantation // J Urol. 2008; 179 (5): 1987–1989.
  24. Chalmers D., Herbst K., Kim C. Robotic-assisted laparoscopic extravesical ureteral reimplantation: an initial experience // J Pediatr Urol. 2012; 8 (3): 268–271.
  25. Marchini G. S., Hong Y. K., Minnillo B. J., Diamond D. A., Houck C. S., Meier P. M., Passerotti C. C., Kaplan J. R., Retik A. B., Nguyen H. T. Robotic assisted laparoscopic ureteral reimplantation in children: case matched comparative study with open surgical approach // J Urol. 2011; 185 (5): 1870–1875.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Dubrov V.I., Bondarenko S.G., Kagantsov I.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies