Efficacy of laparoscopic ureterovesical reimplantation in treatment of vesicoureteral refux
TENG Jingfei1,HU Xiaotian2, AI Xing1, JIA Zhuomin1,GUAN Yawei1, GAO Feng1
1.Department of Urologic Surgery, General Hospital of Beijing Military Command,Beijing 100700, China; 2.Department of Surgery, People’s Hospital of Yingshan County, Huanggang 438700, China
Abstract：Objective To furnish the experience and evaluate the efficacy of transperitoneal laparoscopic ureterovesical reimplantation for patients with vesicoureteral refux. Methods Nine patients with vesicoureteral refux undergoing transperitoneal laparoscopic ureterovesical reimplantation in this department from January 2010 to June 2014 were retrospectively analyzed. Among the patients, 4 were male, 5 were female, with the age of 16 to 43 and the mean age of 27. All lesions were unilateral, 3 lesions were primary reflux and 6 were secondary reflux. Results All the 9 patients were operated successfully without conversion to open surgery.The mean operation time was (117±27.5) min (range 70 to 180 min), mean blood loss was 36±12.4 ml (range 20 to 60 ml). The mean postoperative hospital stay was (6.3±2.1) days (range 4 to 9days). No urine leakage was found after operation. Perioperative complications included only 1 bladder spasm. All patients were followed up for 9 to 36 months, 2 patients had grade Ⅰ reflux at 3 months postoperation, at 6 months post operation , only 1 patients had grade Ⅰ reflux. Ultrasound revealed no progression of the dilation of the ureter and pelvis after operation. Conclusion With the advantages of minimal invasion, less complications and fast recovery, transperitoneal laparoscopic ureterovesical reimplantation is a feasible approach and can be safely performed for selected patients withvesicoureteral refux.
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2016, Vol. 27 
