Intraoperative catheter management during laparoscopic excision of a giant bladder diverticulum.
J Laparoendosc Adv Surg Tech A
; 14(1): 47-50, 2004 Feb.
Article
em En
| MEDLINE
| ID: mdl-15035845
ABSTRACT
BACKGROUND:
Massive bladder diverticula present a technical challenge to the laparoscopic surgeon. We describe a laparoscopic approach to transperitoneal diverticulectomy, using a specific catheter arrangement to allow excellent control of the various portions of the procedure.METHODS:
A 49-year-old male with longstanding frequency was diagnosed with a 1000 cc bladder diverticulum and bladder neck outlet obstruction. Laparoscopic transperitoneal diverticulectomy was performed using a triple catheter arrangement endoscopic placement of a Councill catheter in the diverticulum, fluoroscopic positioning of an occlusion balloon catheter in the renal pelvis, and placement of a Cope loop suprapubic tube. Additionally, a transurethral incision of the prostate was performed.RESULTS:
The procedure was completed laparoscopically using a four port transperitoneal approach. During the procedure, the diverticulum could be filled and emptied as needed; the catheter across the diverticular neck facilitated subsequent closure of the bladder wall defect. The diverticulum was completely excised. The remaining defect in the bladder was then closed in 2 layers. The patient was discharged on postoperative day 3.CONCLUSION:
Careful planning and arrangement of catheters in the bladder, ureter, and diverticulum facilitates laparoscopic transperitoneal diverticulectomy of even a very large volume diverticulum.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças da Bexiga Urinária
/
Obstrução do Colo da Bexiga Urinária
/
Cateterismo Urinário
/
Cistectomia
/
Divertículo
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article