Suprapubic Transvesical Laparoendoscopic Single-Port Bladder Diverticulectomy: Points of Technique with Medium-Term Surgical Outcomes

Roslan, Marek; Markuszewski, Marcin; Kłącz, Jakub; Krajka, K

doi:10.1089/end.2012.0674

Cited by 19 publications

(13 citation statements)

References 16 publications

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“…Blood loss was minimum in our series with a postoperative hemoglobin decrease of 1.25 g/dL. This is comparable with the results of most other laparoscopic approaches [2,3,[8][9][10].…”

Section: Discussionsupporting

confidence: 88%

The Feasibility, Technique, and Medium-Term Follow-Up of Laparoscopic Transvesical Diverticulectomy

et al. 2020

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Background: To present our experience and results with the transvesical laparoscopic diverticulectomy, developed by Pansadoro et al. [BJU Int. 2009;103(3):412-24], as treatment of symptomatic bladder diverticula, with a medium-term follow-up. Methods: Between June 2010 and July 2018, we successfully operated 15 patients (13 male/2 female), aged 32-85 years (mean age 61 years) in 2 centers in Austria, using the aforementioned technique. Results: The median operative time was 297 min (range 83-488 min), and the blood loss was minimal. The median diameter of the diverticula was 94 mm (range 40-110 mm). The transurethral catheter was removed in most patients on day 7 (range 1-26 days), and cystography was performed before catheter removal. Patients were discharged on the ninth postoperative day (range 4-18 days). One case had a Clavien-Dindo grade IIIb complication (ureter injury), and 2 cases had a grade IIIa complication (nephrostomy drainage). After a median follow-up of 19 months, no recurrences were observed. Conclusion: The laparoscopic, transvesical diverticulectomy is a feasible and valuable procedure with good outcomes. To avoid complications, the ureter needs to be spared meticulously.

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“…Blood loss was minimum in our series with a postoperative hemoglobin decrease of 1.25 g/dL. This is comparable with the results of most other laparoscopic approaches [2,3,[8][9][10].…”

Section: Discussionsupporting

confidence: 88%

The Feasibility, Technique, and Medium-Term Follow-Up of Laparoscopic Transvesical Diverticulectomy

et al. 2020

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“…Laparoscopy can be extraperitoneal [ 6 , 8 ], intraperitoneal (= transperitoneal) [ 2 , 3 ] or suprapubic transvesical [ 18 – 20 ]. Pure laparoscopy can be replaced by robotic-assisted bladder diverticulectomy [ 1 , 9 , 11 , 12 , 14 , 18 , 19 , 21 – 23 ]. Attempts to introduce laparoendoscopic single site surgery (LESS) have also been documented [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic urinary bladder diverticulectomy combined with photoselective vaporisation of the prostate

Hora¹,

Eret²,

Stránský³

et al. 2015

wiitm

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IntroductionPseudodiverticulum of the urinary bladder is mostly a complication of subvesical obstruction (SO). The gold standard of treatment was open diverticulectomy with adenectomy. A more contemporary resolution is endoscopic, in two steps: the first transurethral resection of the prostate (TURP), the second laparoscopic diverticulectomy (LD).AimTo present a one-session procedure – photoselective vaporisation of the prostate (PVP) with LD.Material and methodsFrom 1/2011 to 6/2014, 14 LDs were performed: 1 LD only, 1 with laparoscopic radical prostatectomy, 12 combined with treatment of benign prostatic hyperplasia (BPH), 4 cases of TURP and LD in the second period. In 8 cases, PVP and LD in one session were combined. These 8 cases are presented. 3D CT cystography was used as a gold standard for assessment of diverticulum.ResultsThe mean age was 66.5 ±5.5 (57.3–75.1) years, the mean size of the diverticulum 61.8 ±22.1 (26–90) mm. The procedure starts in the lithotomy position. It includes PVP and stenting of the ureter(s). Changing of position and laparoscopy follows: four ports, transperitoneal extravesical approach. Photoselective vaporisation of the prostate was performed using the Green Light Laser HPS (1x) or XPS with cooled fibre MoXy (7x). The mean delivered energy in PVP was 205.1 ±106.4 (120–458) kJ. The mean time of operation was 165.0 ±48.5 (90–255) min. No postoperative complications were observed. One patient underwent TUR incision after 1 year for sclerosis of the bladder neck.ConclusionsPseudodiverticulum of the urinary bladder (with or without SO) is a relatively rare disease. One session of PVP (Green Light Laser XPS, MoXy fibre) and laparoscopic (transperitoneal extravesical) diverticulectomy is the preferred method for treatment of subvesical obstruction due to BPH and bladder diverticulum at our institution.

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“…Two 3- or 5-mm trocars are used for the working ports, and a 5-mm trocar for the midline camera port that houses a 0° 5-mm telescope [ 11 ]. However, transvesical laparoendoscopic single-site surgery (T-LESS) can be performed in patients who do not need delicate suturing or adults who have a relatively large working space [ 12 - 14 ]. When suturing is needed, a 1.5-cm longitudinal skin incision is made 2 cm above the pubic symphysis, and the inner ring of a TriPort access system is inserted directly into the bladder via a skin incision under cystoscopic control.…”

Section: Resultsmentioning

confidence: 99%

“…Pansadoro et al [ 74 ] first described transvesical laparoscopic bladder diverticulectomy using PV via a 3-port technique. Roslan et al [ 14 , 75 ] was the first to publish a case series for T-LESS for bladder diverticulectomy. Recently, Magdy et al [ 76 ] demonstrated a natural orifice transluminal endoscopic surgery for bladder diverticulectomy.…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic Approach for Intravesical Surgery Using Pneumovesicum in Urology: Literature Review

et al. 2018

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Minimally invasive laparoscopic surgical procedures are increasingly being used in the management of various urological diseases. In particular, the laparoscopic approach for intravesical surgery using pneumovesicum (LPV) is a minimally invasive alternative with potential advantages including decreased morbidity, shorter hospital stays, and improved cosmesis. We review the applications of LPV in urology, summarize data for different surgical approaches, and provide an overview of patient management, as well as other considerations. This narrative review focused primarily on articles indexed in PubMed, Google Scholar, Scopus, and Embase databases. No formal search strategy was used, and no meta-analysis of data was performed.

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Suprapubic Transvesical Laparoendoscopic Single-Port Bladder Diverticulectomy: Points of Technique with Medium-Term Surgical Outcomes

Abstract: We consider this technique to be a feasible and safe procedure, and a valuable treatment option for bladder diverticulectomy.

Cited by 19 publications

References 16 publications

The Feasibility, Technique, and Medium-Term Follow-Up of Laparoscopic Transvesical Diverticulectomy

The Feasibility, Technique, and Medium-Term Follow-Up of Laparoscopic Transvesical Diverticulectomy

Laparoscopic urinary bladder diverticulectomy combined with photoselective vaporisation of the prostate

Laparoscopic Approach for Intravesical Surgery Using Pneumovesicum in Urology: Literature Review

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