Yeung Chung-Kwong, Chowdhary Sujit K, Sreedhar Biji
Department of Surgery, University of Hong Kong, 2/F, Professorial Block, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong SAR, China.
Pediatric Urology and Pediatric Surgery, Apollo Institute of Pediatric Sciences, Sarita Vihar, Delhi Mathura Road, New Delhi 110076, India.
Clin Perinatol. 2017 Dec;44(4):835-849. doi: 10.1016/j.clp.2017.08.008.
Minimally invasive ureteral reimplantation is an attractive and useful tool in the armamentarium for the management of complicated vesicoureteral reflux (VUR). Subureteric dextranomer/hyaluronic acid injection, laparoscopic extravesical ureteric reimplantation and pneumovesicoscopic intravesical ureteral reimplantation with or without robotic assistance are established minimally invasive approaches to management of VUR. The high cost and the limited availability of robotics have restricted accessibility to these approaches. Laparoscopic and/or robotic ureteral reimplantation continues to evolve and will have a significant bearing on the management of complicated VUR in infants and young children.
微创输尿管再植术是处理复杂性膀胱输尿管反流（VUR）的一系列手段中一项有吸引力且实用的方法。输尿管下口葡聚糖凝胶/透明质酸注射、腹腔镜下膀胱外输尿管再植术以及有或没有机器人辅助的气囊膀胱镜下膀胱内输尿管再植术是已确立的VUR微创治疗方法。机器人设备的高成本和有限的可及性限制了这些方法的应用。腹腔镜和/或机器人输尿管再植术在不断发展，将对婴幼儿复杂性VUR的治疗产生重大影响。
