Transvesicoscopic ureteral reimplantation in children with bilateral vesicoureteral reflux: surgical technique and results

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Mun Su ChungChang Hee Hong

Abstract

To report our initial experience with transvesicoscopic cross-trigonal ureteral reimplantation (TVUR), describing stepwise the surgical procedure and determining critical aspects of this surgery in the actual surgical field. Between September 2008 and April 2010, 48 patients with bilateral vesicoureteral reflux (VUR) underwent TVUR. To identify the critical aspects affecting the surgical difficulty, we divided our TVUR procedure into four steps: TVUR set-up, mobilization of ureters, creation of submucosal tunnels, and ureterovesical anastomosis. To evaluate the evolution of our TVUR, we analyzed changes in the operative time and complications versus increase in surgeon experience (dividing our cases into three groups: the first third, the second third, and the last third). Changes in operative time for all four steps of TVUR were analyzed separately, as well as change in overall operative time. Of a total of 48 cases, 45 patients underwent TVUR successfully except for 3 cases of open conversion. Among the 45 cases, the mean overall operative time was 155.6 min. In 1 patient, proximal migration of the ureteral catheter occurred. No other perioperative complications were observed. The mean postoperative hospital stay was 1.6 days...Continue Reading

References

Jul 7, 1984·British Medical Journal·B O'Donnell, P Puri
Aug 1, 1995·The Journal of Urology·A C McCool, D B Joseph
Aug 1, 1993·The Journal of Urology·A AtalaC A Peters
Oct 19, 2010·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·A MarteP Parmeggiani

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Citations

Jan 9, 2013·Der Urologe. Ausg. A·R SteinR Beetz
Mar 11, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Shigehiro SohHiroshi Okada
Jan 5, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Bing-Sheng LiXiang Chen
Apr 18, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jang Hee HanJang Hwan Kim
Jan 18, 2017·Investigative and Clinical Urology·Minki Baek, Chester J Koh
Nov 21, 2013·Korean journal of urology·Minki Baek, Kyung Do Kim
Aug 19, 2016·Annals of Surgery·Andras B FecsoTeodor P Grantcharov
Apr 3, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Hideshi MiyakitaMasayuki Kubota
Feb 28, 2021·Journal of Pediatric Urology·Beytullah Yağız, Berat Dilek Demirel
Jun 2, 2021·Journal of Endourology·Amine Mouloud BenairedNassima Bourazi

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Methods Mentioned

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Software Mentioned

TVUR

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