Vol. 3 No. 1 (2025): January-March
61-68
2025-03-30
Open Access

A Systematic review comparing outcomes of laparoscopic and transvesicoscopic ureteroneocystostomy

Kobiljon T.Ergashev
Saidanvar T.Agzamkhodjaev
Zafar B.Abdullaev
A.A. Raxmatullaev
Kamron Z.Hidoyatov
Asqar T.Soliyev
Sarvar G’.Eshonqulov
Davronbek Sh.Kholtursunov
Bunyod N.Tilovov

Received: 2025-05-28

Published: 2025-03-30

PDF (Uzbek (Latin))

Abstract

Background. We have examined and compared the results of the articles on LEVUR and TVUR in this systematic review and meta-analysis.


Materials and methods. To find all the studies about TVUR and LEVUR in the pediatric population, we examined the databases. Exclusions were review articles, unfinished articles, duplicate publica- tions, and robot-assisted publications. To determine patient information, reflux grades, laterality, length of operation, time to discharge, success rate, and complications, a systematic review was carried out.


Results. 23 articles -13 on TVUR and 10 on LEVUR - were included after a total of 45 articles were screened. In TVUR grade 5 VUR was substantially larger (11.9%, p = 0.001) than in LEVUR (2.2%). When comparing TVUR to LEVUR, the percentage of bilateral reimplantation was considerably higher (p = 0.001). 96.7% was the success rate of LEVUR, a considerable increase above TVUR 93.7% (p = 0.007). Unilateral/bilateral TVUR took significantly longer duration of surgery (155/194 min vs 107/161 min) compared to LEVUR (p = 0.001). The mean (s.d) time to discharge was longer at 3.2 (1.6) days for TVUR compared to 1.6 (0.4) days for LEVUR (p = 0.001). The complication rate was comparable, 7.35% for TVUR and 5.35% for LEVUR (p = 0.167).


Conclusion. With regard to success rates and side effects, LEVUR and TVUR appear to be reason- able substitutes for open ureteric reimplantation. Compared to TVUR, which was recommended for bilateral UR and grade 5 VUR patients, LEVUR was more preferable for unilateral, grades 1-4 cases, had higher success, and required a shorter hospital stay. Although the types of complications varied according to the procedure, there was no discernible difference in the complication rate between LEVUR and TVUR.

Keywords

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About the Authors

Kobiljon T.Ergashev
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0000-0002-3797-4920 (unauthenticated)
Saidanvar T.Agzamkhodjaev
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0000-0003-0742-7392 (unauthenticated)
Zafar B.Abdullaev
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0000-0002-8410-6552 (unauthenticated)
A.A. Raxmatullaev
vestnik.ndmc@bmtm.uz
Tashkent Pediatric Medical Institute
https://orcid.org/0000-0003-4408-5723 (unauthenticated)
Kamron Z.Hidoyatov
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0009-0002-2640-6976 (unauthenticated)
Asqar T.Soliyev
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0009-0007-3577-3520 (unauthenticated)
Sarvar G’.Eshonqulov
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0009-0007-0734-4198 (unauthenticated)
Davronbek Sh.Kholtursunov
vestnik.ndmc@bmtm.uz
Tashkent Pediatric Medical Institute
https://orcid.org/0009-0008-0274-1781 (unauthenticated)
Bunyod N.Tilovov
vestnik.ndmc@bmtm.uz
National Children's Medical Center
https://orcid.org/0009-0007-5050-445X (unauthenticated)

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How to Cite

A Systematic review comparing outcomes of laparoscopic and transvesicoscopic ureteroneocystostomy. (2025). Herald of the National Children’s Medical Center, 3(1), 61-68. https://hnchmc.uz/jour/article/view/204

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