Techniques in Endourology—Laparoscopic Extravesicular Ureteral Reimplantation for Vesicoureteral Reflux: Recent Technical Advances
2000; Mary Ann Liebert, Inc.; Volume: 14; Issue: 7 Linguagem: Inglês
10.1089/08927790050152203
ISSN1557-900X
AutoresYegappan Lakshmanan, Leo C.T. Fung,
Tópico(s)Ureteral procedures and complications
ResumoUreteral reimplantation is an effective treatment for primary vesicoureteral reflux. Recent efforts have been directed toward reducing the perioperative morbidity of open reimplantation. We have refined the technique of laparoscopic extravesical ureteral reimplantation with emphasis on minimal tissue dissection, achieving reliable detrusor closure, and downsizing ports and instruments. With our current technique, excellent results comparable to those of established open procedures are achieved, while postoperative discomfort and the recovery period are significantly reduced. The laparoscopic technique of ureteral reimplantation is described, with emphasis on key technical modifications crucial to the ease of performance and a successful outcome.
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