Laparoscopic extravesicular ureteral reimplantation for vesicoureteral reflux: recent technical advances

Ureteral reimplantation is an effective treatment for primary vesicoureteral reflux. Recent efforts have been directed toward reducing the perioperative morbidity of open reimplantation. We have refined the technique of laparoscopic extravesical ureteral reimplantation with emphasis on minimal tissu...

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Bibliographic Details
Published in:	Journal of endourology Vol. 14; no. 7; p. 589
Main Authors:	Lakshmanan, Y, Fung, L C
Format:	Journal Article
Language:	English
Published:	United States 01-09-2000
Subjects:	Cystoscopy Humans Replantation - trends Ureter - pathology Ureter - surgery Urology - trends Vesico-Ureteral Reflux - pathology Vesico-Ureteral Reflux - surgery
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Summary:	Ureteral reimplantation is an effective treatment for primary vesicoureteral reflux. Recent efforts have been directed toward reducing the perioperative morbidity of open reimplantation. We have refined the technique of laparoscopic extravesical ureteral reimplantation with emphasis on minimal tissue dissection, achieving reliable detrusor closure, and downsizing ports and instruments. With our current technique, excellent results comparable to those of established open procedures are achieved, while postoperative discomfort and the recovery period are significantly reduced. The laparoscopic technique of ureteral reimplantation is described, with emphasis on key technical modifications crucial to the ease of performance and a successful outcome.
ISSN:	0892-7790
DOI:	10.1089/08927790050152203