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Comparison of Robot-assisted Laparoscopic Extravesical Ureteral Reimplantation for Primary Vesicoureteral Reflux in Infants Under One Year of Age and Older Children.
J Pediatr Surg
December 2024
Department of Pediatric Urology, Department of Senior Pediatrics, The Seventh Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China; Medical School of Chinese People's Liberation Army (PLA), Beijing, China. Electronic address:
Purpose: To assess the surgical outcomes of Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation (RALUR-EV) in infants under one year of age with primary vesicoureteral reflux (VUR) as compared to older children.
Materials And Methods: A retrospective analysis was conducted on 48 children with VUR who underwent unilateral or bilateral RALUR-EV between June 2018 and December 2022. Patients were divided into two groups: Group A (25 infants under one year) and Group B (23 children over one year).
European Association of Urology Guidelines on Renal Transplantation: Update 2024.
Eur Urol Focus
November 2024
Department of Urology, Fundacion Puigvert, University Autonoma of Barcelona, Barcelona, Spain.
Background And Objective: The European Association of Urology (EAU) Panel on Renal Transplantation released an updated version of the renal transplantation (RT) guidelines. This report aims to present the 2024 EAU guidelines on RT.
Methods: A broad and comprehensive scoping exercise covering all areas of RT guidelines published between May 31, 2020 and April 1, 2023 was performed.
Is Postoperative Voiding Cystourethrogram Routinely Indicated Following Robotic-assisted Laparoscopic Ureteral Reimplantation in Children: Time to Define the New Standards?
Urology
October 2024
The Department of Urology, West Virginia University, Morgantown, WV.
Article Synopsis
- The study investigates whether routine voiding cystourethrogram (VCUG) is necessary to confirm the resolution of vesicoureteral reflux (VUR) after robotic-assisted laparoscopic ureteral reimplantation (RALUR) in children.
- Data from 42 patients under 18 who underwent RALUR revealed a high success rate, with 87.5% of ureters showing resolved VUR post-surgery.
- The conclusion recommends that after gaining experience, routine VCUG may not be essential following RALUR, given the strong clinical success rate of 97.6%.
Isolated laparoscopic extra-vesical ureteric reimplantation (I-LEVUR) for upper moiety ectopic ureter without lower moiety vesicoureteric reflux.
Pediatr Surg Int
November 2024
Department of Pediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600116, India.
Article Synopsis
- The study assessed the feasibility and outcomes of I-LEVUR, a surgical technique for treating upper moiety ectopic ureter in patients with a duplex renal system, which avoids reimplanting the lower ureter.
- Twelve patients, mostly young children, underwent the procedure with a mean surgical time of 127.5 minutes, and no major complications were reported post-surgery.
- Results indicated improved urinary continence in all patients after an average follow-up of about 78.5 months, suggesting that I-LEVUR is a safe and effective option that preserves normal ureter function.
Robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV): a narrative review.
Transl Pediatr
September 2024
Pediatric Urology, Section of Urology, Department of Surgery, The University of Chicago Comer Children's Hospital, Chicago, IL, USA.
Article Synopsis
- Over the last 20 years, robot-assisted laparoscopic surgery has improved treatment for vesicoureteral reflux (VUR) in children, and this article reviews the benefits and surgical outcomes of a specific procedure called RALUR-EV.
- A literature search identified 21 studies involving 1,321 children, showing a high overall success rate (92.2% for patients, 90.9% per ureter), with an average operation time of around 175 minutes and a hospital stay of about 2 days.
- The authors emphasize the advantages of RALUR-EV while noting the varied study designs and the necessity for more standardized protocols and prospective research to fully assess its effectiveness.
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