Castillo O A, Zubieta R, Yañez R
Unidad de Urología y Centro de Cirugía Robótica, Clínica INDISA, Santiago, Chile; Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Actas Urol Esp. 2013 Nov-Dec;37(10):630-3. doi: 10.1016/j.acuro.2013.04.007. Epub 2013 Jul 31.
Vesico-ureteral reflux (VUR) is a common congenital anomaly of the urinary tract in the pediatric population, existing controversy regarding its management. Patients selected for treatment options are offered, from endoscopic injection of substances sub-ureteral to ureteral reimplantation surgery.
To evaluate the use of the laparoscopic surgical technique for the treatment of vesico-ureteral reflux, with an analysis of the procedure, results and complications.
We evaluated a series of 50 ureteral units in 42 patients, who undergoing laparoscopic transperitoneal ureteral reimplant, using the classic technique of Lich-Gregoir detrusorrafia.
The mean operative time was 74 min. There were no intraoperative nor immediate postoperative. At longer follow-up VUR was cured in all cases.
Laparoscopic surgery is an effective alternative in the surgical treatment of vesico-ureteral reflux, with results comparable to open surgery techniques and over sub-ureteral injection techniques.
膀胱输尿管反流（VUR）是儿科人群常见的先天性泌尿系统异常，其治疗存在争议。对于选择治疗方案的患者，提供了从输尿管下注射物质到输尿管再植手术等多种治疗方式。
评估腹腔镜手术技术在治疗膀胱输尿管反流中的应用，并分析手术过程、结果及并发症。
我们评估了42例患者的50个输尿管单位，这些患者接受了腹腔镜经腹输尿管再植术，采用经典的利奇-格雷戈尔逼尿肌固定术。
平均手术时间为74分钟。术中及术后即刻均无并发症。在更长时间的随访中，所有病例的VUR均得到治愈。
腹腔镜手术是治疗膀胱输尿管反流的一种有效替代方法，其结果与开放手术技术相当，优于输尿管下注射技术。
