medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 1

<< Back Next >>

Rev Mex Urol 2011; 71 (1)

Tratamiento laparoscópico del reflujo vesicoureteral en niños

Landa-Juárez S, Andraca-Dumit R, García-Hernández C, De la Cruz-Yañez H, Moussali-Flah L, Ramos-Salgado F

Language: Spanish
References: 25
Page: 7-11
PDF size: 344.99 Kb.


ABSTRACT

Objective: To report the results of seventeen laparoscopic extravesical reimplantations and to determine their usefulness in the authors’ medical environment.
Methods: From February 2005 to February 2008 seventeen children with primary vesicoureteral reflux underwent laparoscopic extravesical reimplantation. Sixteen of those patients presented with unilateral reflux and one with bilateral reflux. Data collected were age, sex, affected side, vesicoureteral reflux grade, surgery duration, hospital stay, and complications. Control micturition urethrocystogram and excretory urography were carried out at third postoperative month. Data were statistically analyzed with central tendency method.
Results: A total of eighteen laparoscopic Lich–Gregoir reimplantations were performed on nine girls and eight boys with mean age of 8.9 years. Mean surgery duration was 132.5 minutes and there were no cases of urinary retention. One case was converted to open surgery; in another case the colon was scraped but not perforated. There was no obstruction and reflux was corrected in 100% of cases. Mean hospital stay was 3.7 days.
Discussion: Laparoscopic extravesical reimplantation is a safe and effective procedure for treating vesicoureteral reflux. Results were similar to those of open surgery although there was no repercussion in micturition function.


REFERENCES

  1. Landa JS, Colin CB, Hernández AG, Zaldivar CJ, Mancera E G. Reimplantación vesicoureteral en la edad pediátrica: experiencia de 10 años. Bol Coleg Mex Urol 1997;14:174-79.

  2. Baskin LS, Kogan BA. Handbook of Pediatric Urology, 2th ed. Philadelphia: Lippincott Williams & Wilkins; 2005:pp.69-78.

  3. Medical versus surgical treatment of primary vesicoureteral reflux: a prospective international reflux study in children. International Reflux Study Committee. J Urol 1981;125:277-83.

  4. Gregoir W, Schulmann CC. Extravesical antireflux plasty. Urologe A 1977;16:124-7.

  5. Hampel N, Richter-Levin D, Gersh I. Extravesical repair of primary vesicoureteral reflux in children. J Urol 1977;117:355-7.

  6. Lich RJ, Howerton LW, Davis LA. Recurrent urosepsis in children. J Urol 1961;86:554.

  7. Barrieras D, Lapointe S, Reddy PP, et al. J Urol. 1999;162:1197-200.

  8. Fung LC, McLorie GA, Jain U, Khoury AE, Churchill BM. Voiding efficiency after ureteral remplantation: a comparison of extravesical and intravesical techniques. J Uro 1995;153:1972-5.

  9. Minevich E, Aronoff D, Waksman J, Sheldon CA. Voiding disfuntion after bilateral extravesical detrusorrhaphy. J Urol 1998;160:1004-6.

  10. Heidenreich A. Surgical management of vesicoureteral reflux in pediatric patients. World J Urol 2004;22:96-106.

  11. Grosfeld J, Coran A, Fonkalsrud E. Pediatric Surgery. 6th ed. Philadelphia, USA. Mosby; 2006.pp:1741–46.

  12. Gearhart J, Rink R, Mouriquand P, Pediatric Urology. 1a ed. Philadelphia, USA Saunders; 2001.pp:359–429.

  13. Puri P, Höllwarth ME. Pediatric Surgery. Alemania Springer-Verlag Berlin Heidelberg Nueva York;2006.

  14. Ashcraft K, Cirugía Pediátrica. 3a ed. México. McGraw Hill; 2000. pp:744–762.

  15. Greenbaum L, Mesrobian H. Vesicoureteral Reflux. Pediatr Clin North Am 2006;53:413-27.

  16. Chand DH, Rhoades T, Poe SA. Incidence and Severity of Vesicoureteral Reflux in Children Related to Age, Gender, Race and Diagnosis. J Urol 2003;170:1548-50.

  17. David S, Kelly C, Poppas DP. Nerve sparing extravesical repair of bilateral vesicoureteral reflux: description of technique and evaluation of urinary retention. J Urol 2004;172:1617-20

  18. Austin J C, Cooper C S. Vesicoureteral reflux: surgical approaches. Urol Clin North Am 2004;31:543-57.

  19. Atala A, Kavoussi LR, Goldstein DS, Retik AB, Peters CA. Laparoscopic correction of vesicoureteral reflux. J Urol 1993;150:748-51.

  20. Lakshmanam Y, Fung LCT. Laparoscopic extravesical ureteral reimplantation for vesicoureteral reflux: recent technical advances. J Endourol 2000;14:589-93.

  21. Carswell BM, Fefer SD, Fung LC. Laparoscopic bilateral ureteral reimplantation is associated with superior postoperative voiding efficiency - five years results. J Urol 2003;169:489A.

  22. Gatti JM, Cartwright PC, Hamilton BD, Snow BW. Percutaneus endoscopic trigonoplasty in children: long term outcome and modifications in technique. J Endourol 1999;13:581-4.

  23. Gill IS, Ponsky LE, Desai M, Kai R, Ross JH. Laparoscopic cross-trigonal Cohen ureteroneocystotomy: novel technique. J Urol 2001;166:1811-4.




2020     |     www.medigraphic.com