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Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases / Francisco Javier Mejía Sarasti  

Público ISBD Título : Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases Tipo de documento : documento electrónico Autores : Francisco Javier Mejía Sarasti, Fecha de publicación : 2013 Títulos uniformes : European Journal of Pediatric Surgery Idioma : Inglés (eng) Palabras clave : vesicoureteral reflux  recurrent urinary tract infections  minimally invasive surgery  laparoscopic extravesical ureteral reimplantation  Lich-Gregoir Resumen : Introduction: Minimally invasive techniques have been used to treat vesicoureteral reflux (VUR) on pediatric patients. The aim of this study is to review the experience of the laparoscopic approach for VUR by the laparoscopic extravesical ureteral reimplantation (LEVUR) Lich-Gregoir technique. Materials and methods: We performed a multicentric retrospective study. From 2001 to 2009, 81 pediatric patients with VUR constituting 95 ureteral units underwent LEVUR. Reflux was grade II in 32%, grade III in 55%, and grade IV in 8%. Results: LEVUR was performed successfully on the 81 patients with 95 ureteral units. Mean operative time was 105 minutes for left-sided reimplants, 70 minutes for right sided, and 180 minutes for bilateral reimplants. Mean hospital stay was 1.6 days. Urinary catheter was kept in place for a mean time of 0.5 days. Follow-up was achieved for at least 1 year with regular clinic visits, urinalysis, ultrasound, and voiding cystourethrogram. Four patients (4.2%) had evidence of recurrent VUR in a follow-up of 6 to 36 months after antireflux surgery. Conclusions: Although new endoscopic techniques have been widely available for VUR, they have a lower success rate and might require multiple attempts before success. We report that LEVUR has an acceptable success rate (95.8%) and durability compared with open and endoscopic procedures. Mención de responsabilidad : Mario Riquelme, Manuel Lopez, Sergio Landa, Francisco Mejia, Arturo Aranda, Mario Rodarte-Shade, Jaime Rodriguez-Gomez, Jairo Torres-Riquelme Referencia : Eur J Pediatr Surg}. 2013 Apr;23(2):143-7. DOI (Digital Object Identifier) : 10.1055/s-0032-1329708 PMID : 23165518 En línea : https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-132970 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4947 Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases [documento electrónico] / Francisco Javier Mejía Sarasti,  . - 2013. Obra : European Journal of Pediatric Surgery Idioma : Inglés (eng) Palabras clave : vesicoureteral reflux  recurrent urinary tract infections  minimally invasive surgery  laparoscopic extravesical ureteral reimplantation  Lich-Gregoir Resumen : Introduction: Minimally invasive techniques have been used to treat vesicoureteral reflux (VUR) on pediatric patients. The aim of this study is to review the experience of the laparoscopic approach for VUR by the laparoscopic extravesical ureteral reimplantation (LEVUR) Lich-Gregoir technique. Materials and methods: We performed a multicentric retrospective study. From 2001 to 2009, 81 pediatric patients with VUR constituting 95 ureteral units underwent LEVUR. Reflux was grade II in 32%, grade III in 55%, and grade IV in 8%. Results: LEVUR was performed successfully on the 81 patients with 95 ureteral units. Mean operative time was 105 minutes for left-sided reimplants, 70 minutes for right sided, and 180 minutes for bilateral reimplants. Mean hospital stay was 1.6 days. Urinary catheter was kept in place for a mean time of 0.5 days. Follow-up was achieved for at least 1 year with regular clinic visits, urinalysis, ultrasound, and voiding cystourethrogram. Four patients (4.2%) had evidence of recurrent VUR in a follow-up of 6 to 36 months after antireflux surgery. Conclusions: Although new endoscopic techniques have been widely available for VUR, they have a lower success rate and might require multiple attempts before success. We report that LEVUR has an acceptable success rate (95.8%) and durability compared with open and endoscopic procedures. Mención de responsabilidad : Mario Riquelme, Manuel Lopez, Sergio Landa, Francisco Mejia, Arturo Aranda, Mario Rodarte-Shade, Jaime Rodriguez-Gomez, Jairo Torres-Riquelme Referencia : Eur J Pediatr Surg}. 2013 Apr;23(2):143-7. DOI (Digital Object Identifier) : 10.1055/s-0032-1329708 PMID : 23165518 En línea : https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-132970 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4947

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