Janetschek G, Radmayr C, Bartsch G
Univ. Klinik fur Urologie, Innsbruck, Austria.
Ann Urol (Paris). 1995;29(2):101-5.
Several animal studies have demonstrated that antireflux surgery by means of laparoscopy is technically feasible, but clinical experience is as yet lacking. Six girls aged between 6 and 10 years underwent laparoscopic Lich-Gregoir anti-reflux surgery for vesicoureteral reflux and recurrent urinary infections. Three unilateral and three bilateral procedures were performed. No ureteral stents were used. One girl was operated on via an extraperitoneal approach. A mild unilateral stenosis was observed in one child, which, however, subsided after stenting for six weeks. A borderline compensated pyeloureteral stenosis decompensated shortly after the operation. Another child had an uncomplicated urinary tract infection. No other complications were seen. The laparoscopic Lich-Gregoir antireflux procedure is a complicated operation, which offers no advantage over the conventional procedure.
多项动物研究表明，通过腹腔镜进行抗反流手术在技术上是可行的，但目前仍缺乏临床经验。6名年龄在6至10岁之间的女孩因膀胱输尿管反流和反复尿路感染接受了腹腔镜Lich-Gregoir抗反流手术。实施了3例单侧手术和3例双侧手术。未使用输尿管支架。1名女孩通过腹膜外途径进行手术。1名儿童出现轻度单侧狭窄，但在置入支架6周后缓解。1例临界性代偿性肾盂输尿管狭窄在术后不久失代偿。另1名儿童发生了无并发症的尿路感染。未见其他并发症。腹腔镜Lich-Gregoir抗反流手术是一种复杂的手术，与传统手术相比没有优势。
