Laparoscopic correction of vesicoureteral reflux

A. Atala, L. R. Kavoussi, D. S. Goldstein, A. B. Retik, C. A. Peters

Research output: Contribution to journalArticle

101 Scopus citations

Abstract

Major advances have been made in the area of laparoscopic surgery. The advantages of this approach include smaller incisions, shorter hospitalizations, a more rapid convalescence and decreased postoperative discomfort. To explore the technical feasibility of performing antireflux surgery laparoscopically, we conducted a pilot study in 4 mini-pigs in which bilateral vesicoureteral reflux had been created surgically. We applied a modification of the Lich extravesical ureteral approach to perform laparoscopic antireflux surgery. All mini-pigs underwent successful unilateral mobilization, creation of a bladder wall trough and creation of a new ureteral tunnel laparoscopically. Examinations were performed postoperatively, and then serially at 1, 2, 3 and 5 months after repair. Fluoroscopic cystograms demonstrated the resolution of reflux in the corrected ureters and persistence of reflux in the uncorrected control ureters in all animals. Excretory urography showed no evidence of obstruction. Laparoscopic correction of vesicoureteral reflux appears to be technically feasible in the animal model. Long-term followup is necessary to determine the possible applicability of this technique in humans.

Original languageEnglish (US)
Pages (from-to)748-751
Number of pages4
JournalJournal of Urology
Volume150
Issue number2 SUPPL.
DOIs
StatePublished - Jan 1 1993

Keywords

  • peritoneoscopy
  • replantation
  • ureter
  • vesico-ureteral reflux

ASJC Scopus subject areas

  • Urology

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    Atala, A., Kavoussi, L. R., Goldstein, D. S., Retik, A. B., & Peters, C. A. (1993). Laparoscopic correction of vesicoureteral reflux. Journal of Urology, 150(2 SUPPL.), 748-751. https://doi.org/10.1016/S0022-5347(17)35604-5