Laparoscopic resection of a bladder diverticulum in children

Cover Page


Cite item

Full Text

Abstract

Introduction. Recently, there have been publications devoted to laparoscopic removal of a bladder ear. The article sums up the multi-center experience in laparoscopic diverticulectomy.

Materials and methods. Case histories of 30 children who underwent surgeries from 2012 to 2019 in 7 outpatient clinics were analyzed retrospectively. 22 boys (73.3%) and 8 girls (26.7%) were operated. At the time of the surgery, the mean age of the patients was 53.5 months. 15 (50.0%) children had right-sided diverticulum, 13 (43.3%) children suffered from left-sided one, and 2 had bilateral diverticulum (6.7%). The disease onset was presented by acute urinary tract infection in 25 (83.3%) children and urination dysfunction in 5 (16.7%). The laparoscopic access technique was used in all children. An isolated diverticulum was excised and the wall of the urinary bladder was restored. When the diverticulum was combined with a vesicoureteral reflux or ureterovesical anastomosis, ureteral reimplantation was added. Results. No conversions were found during the laparoscopy. Following the surgery, 3 (10.0%) children developed stent-associated pyelonephritis. No patient had complications during the observation that lasted from 6 months to 6 years. Conclusion. Laparoscopic technique is an effective and safe approach of treating a bladder ear in children.

About the authors

I. M. Kagantsov

Republican Children’s Clinical Hospital city of Syktyvkar; Syktyvkar State University named after Pitirim Sorokin

Author for correspondence.
Email: ilkagan@rambler.ru
ORCID iD: 0000-0002-3957-1615

Ilya M. KAGANTSOV – dr. Sci. (Med.), Professor at the Department of Surgical Diseases, Pitirim Sorokin Syktyvkar State University, Head of Department of Urology, Republican Children’s Clinical Hospital

Pushkin St.,116/6, Syktyvkar, 167004

Россия

V. V. Sizonov

Regional Children’s Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0001-9145-8671

Vladimir V. SIZONOV – dr. Sci. (Med.), Professor at the Department of Urology and Reproductive Human Health with course of Pediatric Urology-Andrology

339 Strelkovoi Divisii St., 14, Rostov-on-Don, 344015

Россия

V. I. Dubrov

2nd Children’s Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-3705-1288

Vitaliy I. DUBROV – cand. Sci. (Med.), Head of the Department of Urology

Narochanskaya St., 17, Minsk, 220020

Белоруссия

S. G. Bondarenko

Emergency Care Hospital № 7

Email: fake@neicon.ru
ORCID iD: 0000-0001-5130-4782

Sergey G. BONDARENKO – cand. Sci. (Med.), Head of Department of Pediatric Urology

Kazachskaya St., 1, Volgograd, 400001

Россия

O. S. Shmyrov

Morozov City Children’s Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-0785-0222

Oleg S. SHMYROV – cand. Sci. (Med.), Head of the Department of Urology

4th Dobryninsky lane, 1/9, Moscow, 119049

Россия

N. R. Akramov

Pediatric Republican Clinical Hospital of the Ministry of Healthcare

Email: fake@neicon.ru
ORCID iD: 0000-0001-6076-0181

Nail R. AKRAMOV – dr. Sci. (Med.), Professor of the Department of Pediatric Surgery

Listvennaya St., 27, Kazan, 420129

Россия

A. V. Pirogov

Regional Children’s Clinical Hospital. N. N. Silischeva

Email: fake@neicon.ru
ORCID iD: 0000-0001-8031-2597

Alexandr V. PIROGOV – chief of children’s urological department

Medikov St., 6, Astrakhan, 414011

Россия

A. V. Kulaev

Morozov City Children’s Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-6758-2442

Arthur V. KULAEV – pediatric urologist

4th Dobryninsky lane, 1/9, Moscow, 119049

Россия

V. G. Svarich

Republican Children’s Clinical Hospital city of Syktyvkar; Syktyvkar State University named after Pitirim Sorokin

Email: fake@neicon.ru
ORCID iD: 0000-0002-0126-3190

Vyacheslav G. SVARICH – dr. Sci. (Med.), Professor at the Department of Surgical Diseases, Pitirim Sorokin Syktyvkar State University, Head of Department of Surgery, Republican Children’s Clinical Hospital

Pushkin St.,116/6, Syktyvkar, 167004

Россия

References

  1. Alan J. Wein, Louis R. Kavoussi, Alan W. Partin, Craig A. Peters. Campbell-Walsh Urology [Book] – Philadelphia: Elsevier, 2016. p.3384–5
  2. Silay M. S., Koh C. Management of the bladder and calyceal diverticulum: options in the age of minimally invasive surgery. J. Urol. Clin. N. Am. 2015;42:77–87. doi: 10.1016/j.ucl.2014.09.007
  3. Bondarenko S. Laparoscopic extravesical transverse ureteral reimplantation in children with obstructive megaureter. J. Pediatr. Urol. 2013 Aug;9(4):437–41. doi: 10.1016/j.jpurol.2013.01.001
  4. Stephens F. D. The vesicoureteral hiatus and paraureteral diverticula. J Urol. 1979;121:786–91
  5. Garat J. M., Angerri O., Caffaratti J., Moscatiello P. Primary congenital bladder diverticula in children. Urology. 2007; 70:984–8
  6. Hutch J. A. Vesicoureteral reflux in the paraplegic: cause and correction. J. Urol. 1952;68:457–69
  7. Tokunaka S., Koyanagi T., Matsuno T., Gotoh T., Tsuji T. Paraureteral diverticula: clinical experience in 17 cases with associated renal dysmorphism. J. Urol. 1980;124:791–6
  8. Das S. Laparoscopic removal of bladder diverticulum. J. Urol. 1992;148:1837–9
  9. Kok K. Y., Seneviratne H. S., Chua H. B., Yapp S. K. Laparoscopic excision of congenital bladder diverticulum in a child. Surg. Endosc. 2000;14:500–2

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2019 Kagantsov I.M., Sizonov V.V., Dubrov V.I., Bondarenko S.G., Shmyrov O.S., Akramov N.R., Pirogov A.V., Kulaev A.V., Svarich V.G.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.