Single-port-plus-one robot-assisted laparoscopic Lich–Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen

Bibliographic Details
Title: Single-port-plus-one robot-assisted laparoscopic Lich–Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen
Authors: Shan Lin, Huihuang Xu, Yufeng He, Xinru Xu, Guangxu You, Jianglong Chen, Di Xu
Source: European Journal of Medical Research, Vol 29, Iss 1, Pp 1-9 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Medicine
Subject Terms: Single-port-plus-one robot-assisted laparoscopic, Primary obstructive megaureter, Lich–Gregoir direct nipple, Cohen, Medicine
More Details: Abstract Purpose To compare the effects of a single-port-plus-one robotic laparoscopic-modified Lich–Gregoir direct nipple approach and traditional laparoscopic Cohen in treating pediatric primary obstructive megaureter. Materials and methods The clinical data of 24 children with primary obstructive megaureter from January 2021 to November 2021 were analyzed retrospectively. Among them, 12 children (8 boys and 4 girls, the average age were 17.17 ± 6.31 months) treated with the laparoscopic Cohen method were defined as group C. The remaining 12 children (7 boys and 5 girls, the average age was 17.33 ± 6.99 months) underwent single-port-plus-one robotic laparoscopic-modified Lich–Gregoir direct nipple ureteral extravesical reimplantation were defined as group L. The parameters of pre-operation, intraoperative and postoperative were compared. Results There were no differences in the patient characteristics and average follow-up time between the two groups (P > 0.05).The obstruction resolution rate was 100% in both groups. The total operation time in group L is slightly longer than that in group C(P 0.05). The postoperative parameters included blood loss, gross haematuria time, indwelling catheterization time and hospitalization time in group L is shorter than group C(P 0.05). Conclusion Single-port-plus-one robot-assisted laparoscopic-modified Lich–Gregoir direct nipple approach and traditional laparoscopic Cohen are both dependable techniques for ureteral reimplantation in the treatment of pediatric primary obstructive megaureter. Since Lich–Gregoir can preserve the physiological direction of the ureter and direct nipple reimplantation enhances the effect of anti-refluxing, this technique is favorable for being promoted and applied in robot surgery.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-783X
Relation: https://doaj.org/toc/2047-783X
DOI: 10.1186/s40001-024-01862-z
Access URL: https://doaj.org/article/ea7d4588398d446b858cc4120b84ccde
Accession Number: edsdoj.7d4588398d446b858cc4120b84ccde
Database: Directory of Open Access Journals
More Details
ISSN:2047783X
DOI:10.1186/s40001-024-01862-z
Published in:European Journal of Medical Research
Language:English