Laparoendoscopic single-port transvesical diverticulectomy: preliminary clinical experience

Journal of Endourology
Marek RoslanKazimierz Krajka

Abstract

We present our single-center experience with three patients who were undergoing laparoendoscopic single-site (LESS) diverticulectomy through a single-port device introduced directly into the bladder. During March and April 2011, we operated on three men aged 62 to 76 years (mean 67 y) for symptomatic bladder diverticula using a standard lithotomy position and general anesthesia. The procedure was performed transvesically (percutaneous intraluminal approach) with a single-port device (four-channel) via a 1.5-cm incision made 2 cm above the pubic symphysis. Standard 10-mm optic and rigid laparoscopic instruments were used. The defect of the bladder wall was closed with an absorbable 3/0 running V-Loc suture. An 18F Foley catheter was left for 4 to 7 days. The average operative time was 128 minutes (range 80-175 min). The blood loss was minimal. Patients were discharged on the third postoperative day with no intra-, nor postoperative complications. The 3-month follow-up confirmed good operative results in all cases. We consider laparoendoscopic single-port transvesical excision of bladder diverticulum as a feasible and safe procedure and a valuable treatment option for bladder diverticulectomy.

References

Apr 1, 1983·The Journal of Urology·S Mićić, V Ilić
Oct 9, 2003·The Journal of Urology·Dragan GolijaninGuido Dalbagni
Apr 19, 2006·Urology·Ali S GözenJens Rassweiler
Feb 1, 2007·Journal of Endourology·Amr M Abdel-HakimIsmail Saad
Feb 5, 2008·Urology·Jihad H KaoukInderbir S Gill
Oct 7, 2008·Urology·Mihir M DesaiInderbir S Gill
Feb 4, 2009·BJU International·Vito PansadoroPaolo Emiliozzi
Jul 17, 2009·Urology·Rene J SoteloInderbir S Gill
Jul 21, 2009·Urology·Arvind P GanpuleMahesh R Desai
Aug 1, 2009·Urology·Mihir M DesaiInderbir S Gill
Oct 10, 2009·Urology·Michael S IngberMihir M Desai
Nov 28, 2009·The Urologic Clinics of North America·Charles R Powell, Karl J Kreder
Mar 30, 2010·BJU International·Mihir M DesaiRene Sotelo
Aug 13, 2010·European Urology·Michael A WhiteJihad H Kaouk
Dec 3, 2010·European Urology·Matthew T GettmanUNKNOWN European Society of Urotechnology NOTES and LESS Working Group
Jan 6, 2011·Journal of Endourology·Jens-Uwe StolzenburgEvangelos N Liatsikos

❮ Previous
Next ❯

Methods Mentioned

BETA
dissector
dissection

Software Mentioned

TriPort
LESS

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.