The Feasibility, Technique, and Medium-Term Follow-Up of Laparoscopic Transvesical Diverticulectomy.
| Autor: | Eredics K; Department of Urology and Andrology, Donauspital, Vienna, Austria, klaus.eredics@gmail.com., Rauchenwald M; Department of Urology and Andrology, Donauspital, Vienna, Austria., Lusuardi L; Department of Urology, Paracelsus Private Medical University, Salzburg, Austria., Kunit T; Department of Urology, Paracelsus Private Medical University, Salzburg, Austria., Klingler HC; Department of Urology and Pediatric Urology, Wilhelminenspita, Vienna, Austria., Gronostaj K; Department of Urology, Jagellonian University, Krakow, Poland., Sevcenco S; Department of Urology and Andrology, Donauspital, Vienna, Austria. |
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| Jazyk: | angličtina |
| Zdroj: | Urologia internationalis [Urol Int] 2020; Vol. 104 (11-12), pp. 923-927. Date of Electronic Publication: 2020 Sep 18. |
| DOI: | 10.1159/000510242 |
| Abstrakt: | 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. (© 2020 S. Karger AG, Basel.) |
| Databáze: | MEDLINE |
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