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Extravesical reimplantation

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https://www.readbyqxmd.com/read/27867854/laparoscopic-extravesical-ureteral-reimplantation-levur-a-systematic-review
#1
REVIEW
Alessandra Farina, Ciro Esposito, Maria Escolino, Manuel Lopez, Alessandro Settimi, François Varlet
BACKGROUND: Laparoscopic ureteral reimplantation is a feasible method for treating ureteral pathology with good preliminary results in the literature. In this study, we review medium term results for laparoscopic ureteral reimplantation and discuss current developments of this procedure. METHODS: Medline and Embase databases were searched using relevant key terms to identify reports of paediatric laparoscopic extravesical ureteral reimplantation (LEVUR). Literature reviews, case reports, series of <3 children and adult studies (age >20 years) were excluded...
October 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27843215/extravesical-modified-gregoir-lich-versus-intravesical-cohen-s-ureteric-reimplantation-for-vesicoureteral-reflux-in-children-a-single-center-experience
#2
Krishnamoorthy Sriram, Ramesh Babu
INTRODUCTION: There are multiple techniques for surgical correction of vesicoureteral reflux (VUR). We compared the outcomes of extravesical versus Cohen's reimplantation for VUR in children. METHODS: Records of all children (n = 118) who underwent reimplantation for VUR between 2003 and 2014 were analyzed (male: female = 43:75). Children with secondary VUR, duplication anomalies, and ectopic ureter were excluded from our study. Extravesical reimplantation (EVR) was performed bilateral in 32 children (Group 1a) and unilateral in 19 (Group 1b), while bilateral Cohen's reimplantation was performed in 67 (Group 2)...
October 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27764016/current-status-of-robotic-assisted-surgery-for-the-treatment-of-vesicoureteral-reflux-in-children
#3
Matthew D Timberlake, Craig A Peters
PURPOSE OF REVIEW: Although open ureteral reimplantation remains the gold standard for surgical correction of vesicoureteral reflux (VUR), robotic-assisted laparoscopic ureteral reimplantation (RALUR) holds promise and is becoming more widely utilized. The present article outlines primary operative techniques for RALUR, summarizes the current literature with respect to surgical outcomes and costs, and discusses early applications of RALUR to complex and reoperative cases. RECENT FINDINGS: Intravesical and extravesical techniques for RALUR have been described...
January 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/27522319/robot-assisted-laparoscopic-extravesical-ureteral-reimplant-a-critical-look-at-surgical-outcomes
#4
Daniel Herz, Molly Fuchs, Andrew Todd, Daryl McLeod, Jennifer Smith
BACKGROUND: Published reports of outcomes of robot assisted laparoscopic ureteral reimplantation (RALUR) show mixed results that, on average, are inferior to open ureteral reimplant. We present a retrospective analysis of a prospective series of children who had RALUR from 2013 to June 2015. We hypothesized that surgical outcomes are based on identifiable risk variables. We provide a critical analysis of the relationship between patient characteristics and several surgical and non-surgical outcomes...
July 26, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27036858/robot-assisted-laparoscopic-extravesical-ureteral-reimplantation-technique-modifications-contribute-to-optimized-outcomes
#5
Mohan S Gundeti, William R Boysen, Anup Shah
BACKGROUND: Robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV) is being adopted at large pediatric urology centers in the United States, but currently there is not consensus on surgical technique to facilitate the best possible outcomes. OBJECTIVE: To describe technique modifications that may lead to improved radiographic vesicoureteral reflux (VUR) resolution. DESIGN, SETTING, AND PARTICIPANTS: Between December 2008 and February 2015, a single surgeon performed RALUR-EV at an academic medical center...
March 29, 2016: European Urology
https://www.readbyqxmd.com/read/26747012/outcomes-of-complex-robot-assisted-extravesical-ureteral-reimplantation-in-the-pediatric-population
#6
Angela M Arlen, Kristin M Broderick, Curtis Travers, Edwin A Smith, James M Elmore, Andrew J Kirsch
INTRODUCTION AND OBJECTIVE: While open ureteral reimplantation remains the gold standard for surgical treatment of vesicoureteral reflux (VUR), minimally invasive approaches offer potential benefits. This study evaluated the outcomes of children undergoing complex robot-assisted laparoscopic ureteral reimplantation (RALUR) for failed previous anti-reflux surgery, complex anatomy, or ureterovesical junction obstruction (UVJO), and compared them with patients undergoing open extravesical repair...
June 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26390563/-laparoscopic-uretero-cysto-anastomosis-in-treatment-of-pelvic-ureteral-strictures
#7
B K Komjakov, B G Guliev
The aim of the paper was to evaluate the efficacy of laparoscopic uretero-cysto-anastomosis (UCA) in patients with lower ureteral strictures of various etiologies. Over the period from 2010 to 2014, 12 patients (8 females and 4 males) aged 19 to 64 years (mean age 35.6 ± 8.5 years) underwent laparoscopic UCA. In all females, iatrogenic ureteral injury occurred during gynecological surgery. Types of gynecological surgeries were an open or laparoscopic hysterectomy (5), excision of endometriosis nodules (2), and resection of the ovaries (1)...
May 2015: Urologii︠a︡
https://www.readbyqxmd.com/read/26076822/retrospective-study-to-determine-the-short-term-outcomes-of-a-modified-pneumovesical-glenn-anderson-procedure-for-treating-primary-obstructing-megaureter
#8
Xing Liu, Jun-Hong Liu, De-Ying Zhang, Yi Hua, Tao Lin, Guang-Hui Wei, Da-Wei He
INTRODUCTION: Primary obstructive ureter (POM) is an upper urinary tract malformation in children. Transvesicoscopic ureteral reimplantation is increasingly being used as the first choice to correct POM, replacing the open extravesical approach. Although several procedures have been reported, there is no universally accepted technique for endoscopic ureteral reimplantation. OBJECTIVE: To report on several modifications of the Glenn-Anderson ureteral advancement technique to make it suitable for a laparoscopic pneumovesical approach to treatment of POM...
October 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25964197/laparoscopic-undiversion-of-end-ureterostomy-a-novel-technique
#9
V V S Chandrasekharam
PURPOSE: We describe a novel technique of laparoscopic undiversion and reimplantation of end ureterostomy in children. METHODS AND TECHNIQUE: Three children (mean age 2.1 y, two girls) underwent laparoscopic undiversion and reimplantation of unilateral end ureterostomy during early infancy for symptomatic primary obstructive megaureter. The procedure consisted of laparoscopic dismantling of stoma, mobilization and medial rerouting of ureter, and extravesical ureteric reimplantation...
June 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25864615/objective-pain-assessment-after-ureteral-reimplantation-comparison-of-open-versus-robotic-approach
#10
COMPARATIVE STUDY
M Harel, K W Herbst, R Silvis, J H Makari, F A Ferrer, C Kim
INTRODUCTION: While open ureteral reimplantation is the gold standard of surgical intervention for vesicoureteral reflux (VUR), minimally invasive approaches offer the potential benefits of decreased postoperative pain, improved cosmesis, and shorter hospital stay and convalescence. Studies comparing open and minimally invasive surgery with respect to postoperative pain in children have been inconclusive. OBJECTIVE: We sought to compare postoperative pain in children undergoing open versus robotic ureteral reimplantation by using age-appropriate, validated pain assessment scales...
April 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25716937/robot-assisted-anterior-wall-extravesical-ureteral-reimplantation
#11
Jason P Joseph, Mohan S Gundeti
INTRODUCTION: Here we describe our technique for robot-assisted, extravesical, anterior wall ureteral reimplantation for select patients with obstructive megaureter or high grade VUR with paraureteral diverticulum. We performed anterior wall reimplantation, extrapolating our experience with anterior wall appendicovesicostomy [Famakinwa et al., Eur Urol 2013;64(5):831-6] METHODS: We applied this technique at our institution for a total of 6 patients: 4 pediatric, 2 adult...
February 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25674670/robot-assisted-laparoscopic-extravesical-ureteral-reimplantation-in-children-top-down-suturing-technique-without-stent-placement
#12
Mesrur Selcuk Silay, Minki Baek, Chester J Koh
Extravesical robotic-assisted laparoscopic ureteral reimplantation in children is a challenging procedure. Our top-down suturing technique facilitates this reconstructive surgery. After mobilization of the ureter without the use of ureteral stent placement, the detrusor muscle is divided. Once adequate muscle flaps are raised, the ureter is placed into its new muscle tunnel. Unlike previously described techniques, the top-down suturing approach involves placement of the first detrusor stitch at the superior aspect...
August 2015: Journal of Endourology
https://www.readbyqxmd.com/read/25484966/surgical-techniques-robotic-bladder-diverticulectomy-with-the-da-vinci-s-surgical-system
#13
Ranjit Rao, Rishi Nayyar, S Panda, Ashok K Hemal
Bladder diverticulectomy is a surgical operation for symptomatic or large bladder diverticula. Typically, bladder diverticula are because of infravesical obstruction, although congenital diverticula can occur that may be large and symptomatic. The ability to excise the diverticulum completely, avoid important adjacent structures, and close the bladder defect in a watertight fashion are key fundamentals to this operation. Traditionally done via an open extravesical, intravesical, or combined approach, bladder diverticulectomy can now be done in a minimally invasive fashion...
2007: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/25455176/the-robotic-assisted-ureteral-reimplantation-the-evolution-to-a-new-standard
#14
REVIEW
Dana A Weiss, Aseem R Shukla
The development of the robotic-assisted laparoscopic ureteral reimplantation has tracked a path searching for the optimal method of providing outcomes on par with the gold standard of open intravesical ureteral reimplantation combined with fewer complications and decreased discomfort for the patient. With this in mind, pioneers in pediatric urology minimally invasive surgery have put limits to the test with laparoscopic transvesicoscopic Cohen reimplants and laparoscopic extravesical Lich-Gregoir reimplants and then used the da Vinci platform to fine-tune and bring these skills into the 21st century...
February 2015: Urologic Clinics of North America
https://www.readbyqxmd.com/read/25306984/laparoscopic-correction-of-vesicoureteral-reflux-in-children-review-of-the-current-literature
#15
Hasan Serkan Dogan, Serdar Tekgul
Vesicoureteral reflux is one of the most important pediatric urology topics. The correction of this pathology by means of open and endoscopic surgery has been well established. The laparoscopic approaches are evolved with the aim of combining the minimally invasive nature of endoscopic treatments with the high success rates of open surgeries. The first applications of laparoscopic ureteral reimplantation techniques started in mid 1990s. However, it did not gain wide acceptance as the latter endoscopic trigonoplasties could not...
October 2014: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/25301094/multi-institutional-review-of-outcomes-of-robot-assisted-laparoscopic-extravesical-ureteral-reimplantation
#16
MULTICENTER STUDY
Gwen M Grimsby, Moira E Dwyer, Micah A Jacobs, Michael C Ost, Francis X Schneck, Glenn M Cannon, Patricio C Gargollo
PURPOSE: We performed a multi-institutional assessment of the outcomes and complications of robot-assisted laparoscopic extravesical ureteral reimplantation for vesicoureteral reflux in children. MATERIALS AND METHODS: We retrospectively reviewed the records of patients who underwent robot-assisted laparoscopic extravesical ureteral reimplantation as done by 1 of 5 surgeons at Children's Medical Center, Dallas, Texas, or Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, from 2010 to 2013...
May 2015: Journal of Urology
https://www.readbyqxmd.com/read/25168317/carbon-dioxide-laser-for-detrusor-tunnel-creation-in-robot-assisted-laparoscopic-extravesical-ureteral-reimplant
#17
E C Diaz, B W Lindgren, E M Gong
OBJECTIVE: Demonstrate and report initial results using a carbon dioxide (CO2) laser for detrusor tunnel creation in robot-assisted laparoscopic extravesical ureteral reimplant (RALUR). METHODS: Retrospective chart review was performed for cases of RALUR from 2011 to 2014. Patients undergoing complex reconstruction (ureteral tailoring, dismembered reimplant, concomitant ureteroureterostomy), and those who had incomplete follow-up were excluded. Variables, including use of the CO2 laser, were collected and correlated with outcomes...
December 2014: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25013569/comparision-of-barry-and-barry-taguchi-ureterovesical-reimplantation-techniques-in-kidney-transplantations-a-randomized-clinical-trial
#18
M R Mohammadi Fallah, A Taghizadeh Afshari, M Asadi, A H Sharafi
BACKGROUND: Renal transplantation is the treatment of choice for chronic renal failure. Using a suitable ureterovesical anastomosis technique can prevent most of risks for kidney graft. Extravesical ureteroneocystostomy is becoming popular in renal transplantation because of the low complication rate and technical ease. The decreased complication rate is due to limited bladder dissection and the need for a shorter ureteral segment from the donor. OBJECTIVE: In this study we assessed the effectiveness and complications of a new technique, Barry-Taguchi technique and compared it with Barry technique...
2010: International Journal of Organ Transplantation Medicine
https://www.readbyqxmd.com/read/24846118/extravesical-robot-assisted-laparoscopic-ureteral-reimplantation-for-vesicoureteral-reflux-initial-experience-in-japan-with-the-ureteral-advancement-technique
#19
Yutaro Hayashi, Kentaro Mizuno, Satoshi Kurokawa, Akihiro Nakane, Hideyuki Kamisawa, Hidenori Nishio, Yoshinobu Moritoki, Keiichi Tozawa, Kenjiro Kohri, Yoshiyuki Kojima
OBJECTIVES: To report our initial experience with robot-assisted laparoscopic extravesical ureteral reimplantation using the ureteral advancement technique. METHODS: A total of 15 ureters from nine patients (age range 2-25 years) underwent robot-assisted laparoscopic extravesical ureteral reimplantation for the management of vesicoureteral reflux. The reflux was classified as grade I in one ureter, grade II in two ureters, grade III in seven ureters, grade IV in three ureters and grade V in two ureters...
October 2014: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/24841534/robot-assisted-laparoscopic-ureteric-reimplantation-extravesical-technique
#20
Pankaj P Dangle, Anup Shah, Mohan S Gundeti
OBJECTIVES: To describe our standardised approach to performing robot-assisted extravesical ureteric reimplantation. PATIENTS AND METHODS: A total of 29 children, with high grade (III-V) vesico-ureteric reflux (VUR) underwent robot-assisted extravesical ureteric reimplantation between September 2010 and September 2013. Follow-up renal ultrasonography was performed at 1 month and 3 months and a voiding cysto-urethrogram (VCUG) was obtained at 4 months to assess VUR resolution...
October 2014: BJU International
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