Laparoscopic resection of a bladder diverticulum in children

Cover Page
  • Authors: Kagantsov I.M.1,2, Sizonov V.V.3, Dubrov V.I.4, Bondarenko S.G.5, Shmyrov O.S.6, Akramov N.R.7, Pirogov A.V.8, Kulaev A.V.6, Svarich V.G.1,2
  • Affiliations:
    1. Republican Children’s Clinical Hospital city of Syktyvkar
    2. Syktyvkar State University named after Pitirim Sorokin
    3. Regional Children’s Clinical Hospital
    4. 2nd Children’s Hospital
    5. Emergency Care Hospital № 7
    6. Morozov City Children’s Clinical Hospital
    7. Pediatric Republican Clinical Hospital of the Ministry of Healthcare
    8. Regional Children’s Clinical Hospital. N. N. Silischeva
  • Issue: Vol 9, No 3 (2019)
  • Pages: 51-57
  • Section: ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ
  • URL: https://rps-journal.ru/jour/article/view/592
  • DOI: https://doi.org/10.30946/2219-4061-2019-9-3-51-57

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

Russian Federation

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

V. V. Sizonov

Regional Children’s Clinical Hospital

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

Russian Federation

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

V. I. Dubrov

2nd Children’s Hospital

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

Belarus

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

Narochanskaya St., 17, Minsk, 220020

S. G. Bondarenko

Emergency Care Hospital № 7

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

Russian Federation

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

Kazachskaya St., 1, Volgograd, 400001

O. S. Shmyrov

Morozov City Children’s Clinical Hospital

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

Russian Federation

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

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

N. R. Akramov

Pediatric Republican Clinical Hospital of the Ministry of Healthcare

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

Russian Federation

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

Listvennaya St., 27, Kazan, 420129

A. V. Pirogov

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

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

Russian Federation

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

Medikov St., 6, Astrakhan, 414011

A. V. Kulaev

Morozov City Children’s Clinical Hospital

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

Russian Federation

Arthur V. KULAEV – pediatric urologist

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

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

Russian Federation

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

References

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