RT info:eu-repo/semantics/article
T1 Laparoscopic extravesical reimplantation in children with primary obstructive megaureter
A1 Gómez Culebras, Mario Alberto
A1 López, Manuel
A1 Perez-Etchepare
A1 Bustangi, Nasser
A1 Godik, Oleg
A1 Juricic, Michel
A1 Varlet, Francois
A1 Gutiérrez, Rocío
A1 Gander, Romy
A1 Royo, Gloria
A1 Asensio, Marino
K1 Primary obstructed megaureter
K1 Pediatric
K1 Laparoscopy
AB Introduction: Conservative management of primary obstructive megaureter (POM) appears as the best option in patients with adequate ureteral drainage. Nevertheless, surgical intervention is indicated in cases of recurrent urinary tract Infections (UTIs), deterioration of split renal function, and significant obstruction. The gold standard includes: Ureteral reimplantation with or without tapering by open approach.Our objective is to report our results in the treatment of POM by Laparoscopic-Assisted Extracorporeal Ureteral Tapering Repair (EUTR) and Laparoscopic Ureteral Extravesical Reimplantation (LUER) and to evaluate the efficacy and security of this procedure.Materials and Methods: From January 2011 to January 2018 a retrospective study was carried out by reviewing the clinical records of 26 patients diagnosed with POM. All patients underwent laparoscopic ureteral reimplantation following Lich Gregoir technique. In cases of ureteral tapering, an EUTR was performed with Hendren technique.Results: In all patients LUER and EUTR were performed without conversion. No ureteral tapering was necessary in six patients. There were no intraoperative complications. At 3 months in postoperative, 1 patient presented a febrile UTI, and subsequently, a vesicoureteral reflux (VUR) grade III was diagnosed by voiding cystourethrogram. In this case, a redo laparoscopic surgery was performed. After long-term follow-up, allpatients were asymptomatic without recurrence of POM or VUR. Conclusion: Laparoscopic-assisted EUTR and LUER following Lich Gregoir technique for POM constitutes a safe and effective option, with a success rate similar to that of open procedure. Nevertheless, larger randomizedprospective trials and long-term follow-up are required to validate this technique.
PB Mary Ann Liebert, Inc
YR 2023
FD 2023
LK http://riull.ull.es/xmlui/handle/915/36204
UL http://riull.ull.es/xmlui/handle/915/36204
LA en
DS Repositorio institucional de la Universidad de La Laguna
RD 24-nov-2024