Laparoscopic Ureteral Reimplant Surgery to Correct Reflux Disease

摘要: Vesicoureteral reflux (VUR) is considered as a significant factor for the development of urinary tract infection, progressive renal damage or scarring, and end-stage failure [1]. Mild cases VUR are likely to resolve spontaneously, but high-grade may require surgical correction. Open ureteral reimplantation surgery has been extremely successful, with success rates 95–98% in children [2]. However, open repair involves in-splitting abdominal wall, forced retraction bladder long postoperative need indwelling catheter causing pain, spasms, longer hospital stay [3–5]. Laparoscopy proposed overcome these advantages traditional treatment VUR, reflecting advance other fields urologic surgery. Despite initial description 1994, standard laparoscopic reconstructive lagged behind because its complexity requirement advanced skills [6].