Endoscopic Bridge Operating-Guide Device Applied for Intracorporeal Antegrade Ureteric Stenting During Laparoscopic Pyeloplasty

Abstract

This technique is reliable and effective in laparoscopic ureteral operations. It uses an endoscopic urological equipment, and costs are reduced.

A novel technique of stenting for laparoscopic pyeloplasty in children

“…The main problem has been failure to pass the stent across the ureterovesical junction, especially in younger patients [5], the stent buckling within the peritoneal cavity due to resistance at the uretero-vesical junction. Others have tried to overcome this problem using a laparoscopic cholangiogram guide device [11] or bridge operating guide device [12].…”

Editorial Comment for Kim et al.

“…3-8 Different antegrade approaches have been described, including the many difficulties that often make them more time consuming. [3][4][5] Other studies have used different materials as a guide (Chiba needle, gauge needle) but with extra punctures. 9, 10 We sometime use these techniques, but frequently experience difficulty with the insertion of the guidewire or stent because of looping in the abdominal cavity or lack of progression because of the angle of insertion into the ureter, with the consequence of prolongation of the surgical procedure.…”