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Laparoscopic Lich - Gregoir ureteroneocystostomy versus open surgery: Are there benefits from the minimally invasive procedure?
J Pediatr Urol
November 2024
National Investigator at the Centro Médico Nacional Siglo XXI [National Medical Center "Siglo XXI"], High Specialty Medical Unit Pediatric Hospital "Silvestre Frenk Freund" Mexican Social Security Institute, Mexico. Electronic address:
Article Synopsis
- - The study compares two surgical methods for treating primary vesicoureteral reflux in pediatric patients: the traditional open Lich-Gregoir reimplantation and the newer laparoscopic approach, assessing their complications and success rates.
- - Data were collected retrospectively from clinical charts of 68 patients who underwent either surgery between 2013 and 2017, with no notable differences found in operation times, hospital stays, or complication rates between the two groups.
- - The success rates were 85.2% for the open group and 90.2% for the laparoscopic group, indicating no significant difference, and the lower overall success rates may be attributed to the complex cases involving high-grade reflux in both surgical methods.
A Systematic Review of Ureteral Reimplantation Techniques in Endometriosis: Laparoscopic Versus Robotic-Assisted Approach.
J Clin Med
September 2024
Unit of Obstetrics and Gynecology, Santo Spirito Hospital, 65124 Pescara, Italy.
Endometriosis, characterized by the presence of endometrial tissue outside the uterus, includes deep endometriosis (DE), which can affect the urinary tract. Ureteral endometriosis (UE) is a rare but significant manifestation that can lead to ureteral obstruction, hydronephrosis, and potential kidney loss. This systematic review evaluates the effectiveness and outcomes of laparoscopic versus robotic-assisted ureteral reimplantation techniques in patients with UE.
View Article and Find Full Text PDFExtraperitoneal robotic approach to the uretero-vesical junction in children: Initial experience and a step-by-step video presentation.
J Pediatr Urol
October 2024
Nantes Université, CHU Nantes, Department of Pediatric Urology, F-44000 Nantes, France. Electronic address:
Introduction & Objectives: The use of transperitoneal robotic-assisted procedures for ureterovesical junction (UVJ) anomalies in pediatric patients is increasing. However, the extra-peritoneal approach potentially less invasive, remains underexplored with robotic approach in pediatric patients. We present our experience of robot-assisted extra-vesical laparoscopic extra-peritoneal UVJ surgery.
View Article and Find Full Text PDFAsymmetrical primary vesicoureteral reflux: Which is the best surgical strategy?
J Pediatr Urol
December 2024
Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France; Université Paris Cité, Paris, France.
Article Synopsis
- A study was conducted to evaluate the effectiveness of a combined surgical technique for treating primary asymmetrical vesicoureteral reflux in children, comparing it to the standard method of bilateral cross-trigonal reimplantation.
- The research focused on surgical complications, post-operative urinary tract infections (fUTIs), and the need for further interventions over an 18-year period, involving 80 children who had experienced febrile UTIs.
- Results showed comparable success rates between the two surgical groups, but the combined technique had a significantly shorter hospital stay and reduced need for bladder catheters and ureteral stents.
Robotic-Assisted Management of Ureteral Complications in Post-Renal Transplant Patients: A Case Series and Literature Review.
J Laparoendosc Adv Surg Tech A
July 2024
Department of Urology, University of Rochester Medical Center, Rochester, New York, USA.
Article Synopsis
- * This study evaluates robotic-assisted ureteral reconstruction in 11 patients from 2019-2022, focusing on demographics, surgical techniques, and outcomes, with most patients being male (81%) and the primary reason for surgery being ureteral stricture (10 out of 11 cases).
- * Results show no immediate postoperative complications, a median hospital stay of 2 days, and a follow-up period averaging 14.6 months without graft loss or return of ureteral issues, indicating robotic reconstruction as a beneficial approach despite
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