篇名 | Laparoscopic Ureteral Reimplantation for Vesicoureteral Reflux: A Mini-Review |
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卷期 | 18:2 |
作者 | Tsai, Yao Chou 、 Yang, Stephen Shei Dei |
頁次 | 075-079 |
關鍵字 | Vesicoureteral reflux 、 Laparoscopy 、 Lich-gregoir 、 Cohen 、 Trigonoplasty |
出刊日期 | 200706 |
Background and Purpose: We reviewed commonly used laparoscopic techniques for vesicoureteral reflux to validate their safety and efficacy. Methods: We reviewed all laparoscopically corrected vesicoureteral reflux cases that were found from a search of Medline between 1993 and March 2007. In total, 11 series were eligible for analysis. The most commonly used laparoscopic techniques were laparoscopic Lich-Gregoir reimplantation (either transperitoneally or extraperitoneally) and laparoscopic transvesical Cohen reimplantation. Endoscopic transvesical trigonoplasty was used in only 1 series. Results: In total, 201 renal units were eligible for analysis. The mean follow-up period ranged 2~27.6 months. The mean operative time of unilateral cases of both the laparoscopic Lich-Gregoir and Cohen techniques was around 2 hours in series after 2004. The overall complete resolution rates of laparoscopic Lich-Gregoir and Cohen reimplantations exceeded 90% (range, 67%~100%). Postoperative complications and morbidity were minimal. Conclusions: Our review revealed that the laparoscopic Lich-Gregoir and Cohen reimplantation methods were safe and effective alternatives to open antireflux surgery.