A very easy technique of stenting for laparoscopic pyeloplasty: penbegul intravenous cannula (PICA) technique
| Autor: | Cem Alan, Necmettin Penbegul, Murat Atar, Yaşar Bozkurt, Namik Kemal Hatipoglu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment Forceps 030232 urology & nephrology Anastomosis lcsh:RC870-923 Abdominal wall 03 medical and health sciences 0302 clinical medicine Ureter medicine Cannula Humans Surgical Technique Laparoscopy Surgical Procedures medicine.diagnostic_test business.industry Stent lcsh:Diseases of the genitourinary system. Urology equipment and supplies Operative Surgery medicine.anatomical_structure surgical procedures operative 030220 oncology & carcinogenesis Urologic Surgical Procedures Stents business Renal pelvis |
| Zdroj: | International braz j urol v.45 n.1 2019 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International Brazilian Journal of Urology, Vol 45, Iss 1, Pp 179-182 International braz j urol, Volume: 45, Issue: 1, Pages: 179-182, Published: JAN 2019 |
| Popis: | Introduction: Double-J stent insertion during laparoscopic pyeloplasty is a difficult and time-consuming process and several techniques were defined to perform a double-J stent with an antegrade approach. In this study we present the technique (PICA) of antegrade double-J placement during laparoscopic pyeloplasty by using 14 gauge intravenous cannula. Surgıcal technıque: After we complete the suturing of the posterior wall of the anastomosis during laparoscopic pyeloplasty, we first puncture the abdominal wall with a 14-gauge “intravenous cannula” from a location that provides most suitable angle for inserting the double-J stent into the ureter. We remove the metal needle of the cannula, and the sheath which has an inner diameter of 5.2F remains over the abdominal wall. The double J stent is then advanced from inside the cannula sheath to the intraperitoneal area; under laparoscopic imaging the stent is gently grasped at its distal end using an atraumatic laparoscopic forceps to insert it into the ureter. The stent is then pulled down to its proximal end, and after the guidewire is removed, the proximal end of the double-J stent is placed inside the renal pelvis with an atraumatic forceps. With this technique we can apply the double-J stent in just one step. Additionaly we can use a 14-gauge IV cannula sheath as a trocar when needed during laparoscopic pyeloplasty to retract an organ or reveal an anastomosis line. Comments: Our new technique of antegrade double-J placement during laparoscopic pyeloplasty by 14 gauge intravenous cannula sheath, is very easy and quick to perform. |
| Databáze: | OpenAIRE |
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