title: Laparoscopic surgery of vesicoureteral reflux: an experience in 42 patients with the Lich-Gregoir extravesical technique.
abstract: BACKGROUND
  Vesico-ureteral reflux (VUR) is a common congenital anomaly of the urinary tract in the pediatric population, existing controversy regarding its management. Patients selected for treatment options are offered, from endoscopic injection of substances sub-ureteral to ureteral reimplantation surgery.
  
  
  OBJECTIVE
  To evaluate the use of the laparoscopic surgical technique for the treatment of vesico-ureteral reflux, with an analysis of the procedure, results and complications.
  
  
  METHODS
  We evaluated a series of 50 ureteral units in 42 patients, who undergoing laparoscopic transperitoneal ureteral reimplant, using the classic technique of Lich-Gregoir detrusorrafia.
  
  
  RESULTS
  The mean operative time was 74 min. There were no intraoperative nor immediate postoperative. At longer follow-up VUR was cured in all cases.
  
  
  CONCLUSIONS
  Laparoscopic surgery is an effective alternative in the surgical treatment of vesico-ureteral reflux, with results comparable to open surgery techniques and over sub-ureteral injection techniques.
authors.affiliation: Unidad de Urología y Centro de Cirugía Robótica, Clínica INDISA, Santiago, Chile; Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile. Electronic address: octavio.castillo@indisa.cl.
authors.forename: O A
authors.initials: OA
authors.lastname: Castillo
authors.forename: R
authors.initials: R
authors.lastname: Zubieta
authors.forename: R
authors.initials: R
authors.lastname: Yañez
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
keywords: Endoscopia; Endoscopy; Laparoscopia; Laparoscopy; Neoimplante ureteral; Reflujo vesicoureteral; Ureteral reimplantation; Vesico-ureteral reflux