MP71-08 MICRO-LAPAROENDOSCOPIC SINGLE SITE VESICO-URETERAL REIMPLANTATION WITH LICH–GREGOIR APPROACH IN CHILDREN WITH PRIMARY OBSTRUCTIVE MEGAURETER

Abstract

You have accessJournal of UrologyPediatrics: Upper Urinary Tract Disorders and Fetal Urology (MP71)1 Apr 2020MP71-08 MICRO-LAPAROENDOSCOPIC SINGLE SITE VESICO-URETERAL REIMPLANTATION WITH LICH–GREGOIR APPROACH IN CHILDREN WITH PRIMARY OBSTRUCTIVE MEGAURETER Dengxin Fan* Dengxin Fan*Dengxin Fan* More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000951.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite scattered ureteral cases in adults, no reports of pediatric LESS ureteral reimplantation or ureteroureterostomy exist in the literature.We report our experience in the treatment of primary obstructive megaureter (POM) by micro-laparoendoscopic single site (micro-LESS) vesico-ureteral reimplantation with Lich–Gregoir approach in children. METHODS: From January 2015 to October 2019,a total of 28 children (22 males and 6 females, aged 6 months to 8.4 years) underwent micro-LESS vesico-ureteral reimplantation with Lich–Gregoir technique. The 0.5-1 cm incision along the umbilical folds was used as the surgical channel in all cases. All procedures were performed with a 5mm laparoscope, a homemade gloves port, standard 3- or 5-mm laparoscopic instrumentation, articulating instruments, and crossed manipulation way.The postoperative follow-up included abdomino-pelvic ultrasound at 3 months after surgery, and CT urography at 6 months and 1 year after surgery. RESULTS: All cases was successfully completed without the need for traditional laparoscopic or open conversion; there were no major intraoperative complications. The mean operative time was 120.5 min (range 115-155 min). The postoperative ultrasound demonstrated improvement of the dilatation of the pelvicalyceal system and ureters in all patients, and the surgical scar was invisible after 3 months. CONCLUSIONS: The results of our study suggest that micro-laparoendoscopic single site (micro-LESS) vesico-ureteral reimplantation with Lich–Gregoir approach in children is feasible, and it seems to be safe and effective in the treatment of primary obstructive megaureter (POM). Furthermore, the patients tolerated the surgery well and they appreciated its outstanding cosmetic outcomes. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1067-e1067 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dengxin Fan* More articles by this author Expand All Advertisement PDF downloadLoading ...