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World Journal of Urology

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01-12-2024 | Vesicorenal Reflux | Original Article

Clinical efficacy of laparoscopic Lich–Gregoir versus transvesicoscopic Cohen reimplantation for ureterobladder junction malformations in children

Authors: Rifang Pan, Qike Xie, Congjun Wang, Chen Su, Bo Shi, Yong Li, Junqiang Huang, Chao Chen

Published in: World Journal of Urology | Issue 1/2024

Abstract

Objective

To assess the clinical efficacy of laparoscopic Lich–Gregoir (LLG) and transvesicoscopic Cohen reimplantation (TCR) in the treatment of vesicoureteral junction obstruction (VUJO) and vesicoureteral reflux (VUR).

Methods

This study retrospectively analyzed the clinical data of 66 pediatric patients with VUJO and VUR. They were classified into two groups, undergoing either the laparoscopic Lich–Gregoir operation (LLGO) (n = 35) or transvesicoscopic Cohen reimplantation operation (TCRO) (n = 31). The surgeries were performed between April 2018 and September 2022 at the First Affiliated Hospital of Guangxi Medical University, China. General characteristics, preoperative attributes, postoperative complications, renal function recovery, and improvement of hydronephrosis were compared between the two groups.

Results

All surgical procedures were successful with no requirement for reoperation. Both groups were comparable with respect to gender, affected side, weight, and postoperative complications. Nonetheless, the LLGO group contained a greater number of children younger than 12 months. The LLGO group demonstrated superiority over the TCRO group regarding the duration of the operation, intraoperative blood loss, and length of postoperative hospital stay. In contrast, postoperative complications, recovery of renal function, and hydronephrosis improvement did not exhibit statistically significant differences between the two groups.

Conclusion

Both LLGO and TCRO were demonstrated to be precise, safe, and reliable surgical methods for treating pediatric VUJO and VUR. LLGO ureteral reimplantation offers particular advantages in selecting cases and appears more suitable for children younger than 12 months who have a small bladder capacity.

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Title: Clinical efficacy of laparoscopic Lich–Gregoir versus transvesicoscopic Cohen reimplantation for ureterobladder junction malformations in children
Authors: Rifang Pan
Qike Xie
Congjun Wang
Chen Su
Bo Shi
Yong Li
Junqiang Huang
Chao Chen
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Vesicorenal Reflux
Lich-Gregoir Antireflux Operation
Published in: World Journal of Urology / Issue 1/2024
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-024-04863-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical efficacy of laparoscopic Lich–Gregoir versus transvesicoscopic Cohen reimplantation for ureterobladder junction malformations in children

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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