Comparison of open and pneumovesical approaches for Politano-Leadbetter ureteric reimplantation: a single-center long-term follow-up study

B. S. Tae, B. J. Jeon, Hoon Choi, Jae Young Park, Jae Hyun Bae

Research output: Contribution to journalArticle

Abstract

Purpose: To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. Methods: We retrospectively reviewed the medical records of 52 patients who underwent Politano-Leadbetter ureteral reimplantation between 2012 and 2017. The peri-operative parameters, postoperative outcomes, and complication rates of patients who underwent the open approach for the Politano-Leadbetter procedure and those who underwent the laparoscopic pneumovesical approach were compared. Results: During the study period, 52 ureteric reimplantation procedures were analyzed. Among these, 28 and 24 patients underwent surgery using the open and pneumovesical approaches, respectively. The mean operative time did not differ between the groups (143.64 min vs. 128.12 min, P = 0.092). However, the pneumovesical group had a shorter duration of hospital stay (5.08 days vs 7.43 days, P = 0.001) and required less morphine analgesic for pain than did the open group (7.7% vs 32.1%, P = 0.027). No significant differences in the success rates (94.9% vs 92.5%, P = 0.512) or procedure-related complications were noted between the pneumovesical and open techniques. Conclusions: The transvesicoscopic Politano-Leadbetter technique with pneumovesicum is safe and effective for ureteric reimplantation and is comparable to the open approach. [Table presented]

Original languageEnglish
JournalJournal of Pediatric Urology
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Replantation
Operative Time
Morphine
Medical Records
Analgesics
Length of Stay
Pain

Keywords

  • Laparoscopy
  • Pneumovesicum
  • Ureteral reimplantation
  • Vesicoureteral reflux

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology

Cite this

@article{95a19945ebf043c4b42e4c30da047958,
title = "Comparison of open and pneumovesical approaches for Politano-Leadbetter ureteric reimplantation: a single-center long-term follow-up study",
abstract = "Purpose: To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. Methods: We retrospectively reviewed the medical records of 52 patients who underwent Politano-Leadbetter ureteral reimplantation between 2012 and 2017. The peri-operative parameters, postoperative outcomes, and complication rates of patients who underwent the open approach for the Politano-Leadbetter procedure and those who underwent the laparoscopic pneumovesical approach were compared. Results: During the study period, 52 ureteric reimplantation procedures were analyzed. Among these, 28 and 24 patients underwent surgery using the open and pneumovesical approaches, respectively. The mean operative time did not differ between the groups (143.64 min vs. 128.12 min, P = 0.092). However, the pneumovesical group had a shorter duration of hospital stay (5.08 days vs 7.43 days, P = 0.001) and required less morphine analgesic for pain than did the open group (7.7{\%} vs 32.1{\%}, P = 0.027). No significant differences in the success rates (94.9{\%} vs 92.5{\%}, P = 0.512) or procedure-related complications were noted between the pneumovesical and open techniques. Conclusions: The transvesicoscopic Politano-Leadbetter technique with pneumovesicum is safe and effective for ureteric reimplantation and is comparable to the open approach. [Table presented]",
keywords = "Laparoscopy, Pneumovesicum, Ureteral reimplantation, Vesicoureteral reflux",
author = "Tae, {B. S.} and Jeon, {B. J.} and Hoon Choi and Park, {Jae Young} and Bae, {Jae Hyun}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.jpurol.2019.05.033",
language = "English",
journal = "Journal of Pediatric Urology",
issn = "1477-5131",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Comparison of open and pneumovesical approaches for Politano-Leadbetter ureteric reimplantation

T2 - a single-center long-term follow-up study

AU - Tae, B. S.

AU - Jeon, B. J.

AU - Choi, Hoon

AU - Park, Jae Young

AU - Bae, Jae Hyun

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose: To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. Methods: We retrospectively reviewed the medical records of 52 patients who underwent Politano-Leadbetter ureteral reimplantation between 2012 and 2017. The peri-operative parameters, postoperative outcomes, and complication rates of patients who underwent the open approach for the Politano-Leadbetter procedure and those who underwent the laparoscopic pneumovesical approach were compared. Results: During the study period, 52 ureteric reimplantation procedures were analyzed. Among these, 28 and 24 patients underwent surgery using the open and pneumovesical approaches, respectively. The mean operative time did not differ between the groups (143.64 min vs. 128.12 min, P = 0.092). However, the pneumovesical group had a shorter duration of hospital stay (5.08 days vs 7.43 days, P = 0.001) and required less morphine analgesic for pain than did the open group (7.7% vs 32.1%, P = 0.027). No significant differences in the success rates (94.9% vs 92.5%, P = 0.512) or procedure-related complications were noted between the pneumovesical and open techniques. Conclusions: The transvesicoscopic Politano-Leadbetter technique with pneumovesicum is safe and effective for ureteric reimplantation and is comparable to the open approach. [Table presented]

AB - Purpose: To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. Methods: We retrospectively reviewed the medical records of 52 patients who underwent Politano-Leadbetter ureteral reimplantation between 2012 and 2017. The peri-operative parameters, postoperative outcomes, and complication rates of patients who underwent the open approach for the Politano-Leadbetter procedure and those who underwent the laparoscopic pneumovesical approach were compared. Results: During the study period, 52 ureteric reimplantation procedures were analyzed. Among these, 28 and 24 patients underwent surgery using the open and pneumovesical approaches, respectively. The mean operative time did not differ between the groups (143.64 min vs. 128.12 min, P = 0.092). However, the pneumovesical group had a shorter duration of hospital stay (5.08 days vs 7.43 days, P = 0.001) and required less morphine analgesic for pain than did the open group (7.7% vs 32.1%, P = 0.027). No significant differences in the success rates (94.9% vs 92.5%, P = 0.512) or procedure-related complications were noted between the pneumovesical and open techniques. Conclusions: The transvesicoscopic Politano-Leadbetter technique with pneumovesicum is safe and effective for ureteric reimplantation and is comparable to the open approach. [Table presented]

KW - Laparoscopy

KW - Pneumovesicum

KW - Ureteral reimplantation

KW - Vesicoureteral reflux

UR - http://www.scopus.com/inward/record.url?scp=85068063315&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068063315&partnerID=8YFLogxK

U2 - 10.1016/j.jpurol.2019.05.033

DO - 10.1016/j.jpurol.2019.05.033

M3 - Article

AN - SCOPUS:85068063315

JO - Journal of Pediatric Urology

JF - Journal of Pediatric Urology

SN - 1477-5131

ER -