Advertisement

Robot-assisted laparoscopic diverticulectomy with ureteral reimplantation

  • Elizabeth Koehne
    Correspondence
    Correspondence to: Elizabeth Koehne, Loyola University Medical Center, Department of Urology 2160 S, First Ave. Fahey Building, 2nd Floor, Maywood, IL 60153, USA. Tel.: +(708) 216 8467 ; fax: +(708) 216 6585.
    Affiliations
    Loyola University Medical Center, Department of Urology 2160 S, First Ave. Fahey Building, 2nd Floor, Maywood, IL, 60153, USA
    Search for articles by this author
  • Shalin Desai
    Affiliations
    Loyola University Medical Center, Department of Urology 2160 S, First Ave. Fahey Building, 2nd Floor, Maywood, IL, 60153, USA
    Search for articles by this author
  • Author Footnotes
    1 Tel.: +(773) 880 4428.
    Bruce Lindgren
    Footnotes
    1 Tel.: +(773) 880 4428.
    Affiliations
    Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatric Urology, 225 E. Chicago Ave., Chicago, IL, 60611, USA
    Search for articles by this author
  • Author Footnotes
    1 Tel.: +(773) 880 4428.

      Summary

      Objective

      The objective is to describe our experience with robot-assisted laparoscopic diverticulectomy with extravesical ureteral reimplantation in a pediatric patient.

      Methods

      A 7-year-old male presented with a symptomatic urinary tract infection secondary to Staphylococcus epidermidis. The patient was found to have a large congenital paraureteral bladder diverticulum on work-up. His options were discussed and he proceeded with robotic diverticulectomy. Intraoperatively, the diverticulum was found to obscure the left ureteral orifice, which necessitated synchronous dismembered extravesical ureteral reimplantation.

      Results

      Robot-assisted laparoscopic diverticulectomy with extravesical ureteral reimplantation was performed. The procedure time was 283 min, and estimated blood loss was 3 mL. The patient was discharged home on post-operative day 1. He was last seen in clinic six months after surgery and was doing well without any recurrent urinary tract infections.

      Conclusion

      This video demonstrates a robotic approach for the treatment of complex congenital bladder diverticula. Robotic surgery offers the benefits of good visualization in the pelvis, minimal blood loss, and quick convalescence. Key portions of the diverticulectomy and ureteral reimplantation are clearly illustrated in this video, which can help other surgeons adopt this technique.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Meeks J.J.
        • Hagerty J.A.
        • Lindgren B.W.
        Pediatric robotic-assisted laparoscopic diverticulectomy.
        J Urol. 2008; 73: 299-301https://doi.org/10.1016/j.urology.2008.06.068
        • Bogdanos J.
        • Paleodimos I.
        • Korakianitis G.
        • Stephanidis A.
        • Androulakakis P.
        The large bladder diverticulum in children.
        J Pediatr Urol. 2005; 1: 267-272https://doi.org/10.1016/j.jpurol.2005.01.005
        • Moralioglu S.
        • Bosnali O.
        • Celayir A.C.
        • Sahin C.
        Extravesical approach in paraureteral bladder diverticulum A case report.
        W Indian Med J. 2014; 63: 201-203https://doi.org/10.7727/wimj.2012.113