Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar 13;42(1):148.
doi: 10.1007/s00345-024-04863-z.

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

Rifang Pan  1 , Qike Xie  1 , Congjun Wang  1 , Chen Su  1 , Bo Shi  1 , Yong Li  1 , Junqiang Huang  1 , Chao Chen  2
Affiliations

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

Rifang Pan et al. World J Urol. .

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.

Keywords: Children’s bladder surgery; Ureteral reimplantation; Vesicoureteral junction obstruction; Vesicoureteral reflux.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Diamond D, Chan I, Holland A et al (2017) Advances in paediatric urology. Lancet 390(10099):1061–1071. https://doi.org/10.1016/s0140-6736(17)32282-1 - DOI - PubMed
    1. Rassweiler J, Gözen A, Erdogru T, Sugiono M, Teber D (2007) Ureteral reimplantation for management of ureteral strictures: a retrospective comparison of laparoscopic and open techniques. Eur Urol 51(2):512–522. https://doi.org/10.1016/j.eururo.2006.08.004 . (discussion 22-3) - DOI - PubMed
    1. Feng S, Yu Z, Yang Y, Bi Y, Luo J (2023) Minimally invasive versus open ureteral reimplantation in children: a systematic review and meta-analysis. Eur J Pediatr Surg. https://doi.org/10.1055/s-0043-1764321 - DOI - PubMed
    1. Clavien P, Barkun J, de Oliveira M et al (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2 - DOI - PubMed
    1. Dindo D, Demartines N, Clavien PA. Classification of surgical complications a new proposal with evaluation in a cohort of 6336 patients and results of a survey. 2017

LinkOut - more resources