Extraperitoneal laparoscopic Lich–Gregoir antireflux plasty for primary vesicoureteral reflux

Abstract

We performed laparoscopic Lich-Gregoir antireflux plasty on 4 patients with primary vesicoureteral reflux. All procedures were conducted using the extraperitoneal approach. The average surgical time was 230 min. There were no complications. After surgery, voiding cysturethrograms showed no reflux in all patients.

Robot-Assisted Laparoscopic Nephrectomy and Contralateral Ureteral Reimplantation in Children

“…14,15 Although both extirpative renal surgery and reconstructive antireflux surgery have been successfully performed via laparoscopy-and robot-assisted approaches, the combination of these procedures in the same sitting has not been reported but appeared to be an appealing strategy. 1,[6][7][8][9][10][11][12][13][14][15][18][19][20] Performing these two procedures at one setting poses logistical challenges in terms of port placement and robot positioning.…”

“…To date there have been several reports of laparoscopic ureteral reimplantation. 3,[6][7][8][9][10][11][12][13] However, simultaneous laparoscopic reimplant and excision of a nonfunctioning renal moiety has not been previously described. Currently, after the laparoscopic or open removal of a refluxing dysplastic renal moiety, contralateral antireflux surgery is typically performed through a separate open incision.…”

Laparoscopic Extravesical Transperitoneal Approach for Vesicoureteral Reflux

“…15 Case reports and initial experiences with laparoscopic VUR treatment were published by Sakamoto and colleagues, Wataru and colleagues, and Akihiro and colleagues. [12][13][14]21,22 Lakshmanan and Fung reported the only large series (71 ureters) with technique description. 15 The extraperitoneal approach has been reported in small series, 12 but due to the small area of dissection and longer surgical time, the extraperitoneal approach does not seem to be a better option.…”

“…The first isolated case reports were in the early 1990s. [13][14][15] In the late 1990s, pig model technique studies were published. 15 Case reports and initial experiences with laparoscopic VUR treatment were published by Sakamoto and colleagues, Wataru and colleagues, and Akihiro and colleagues.…”

Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

“…were the first to describe laparoscopic extravesical reimplantation in humans . Since then, a number of endoscopic and laparoscopic ureteral reimplantation techniques have been developed to treat VUR and vesicoureteral junction obstruction . A novel minimally invasive cross‐trigonal ureteral reimplantation technique under pneumovesicum, reported by Yeung, is now widespread and has better success rates than open cross‐trigonal reimplantation …”