Open AccessLaparoscopic resection of a bladder diverticulum in children
Author(s) -
Ilya M. Kagantsov,
Ilya M. Kagantsov,
В. В. Сизонов,
В. В. Сизонов,
В. И. Дубров,
В. И. Дубров,
S. Bondarenko,
S. Bondarenko,
О С Шмыров,
О С Шмыров,
Н. Р. Акрамов,
Н. Р. Акрамов,
А В Пирогов,
А В Пирогов,
Artur V. Kulaev,
Artur V. Kulaev,
Сварич Вячеслав Гаврилович,
Сварич Вячеслав Гаврилович
Publication year - 2020
Publication title -
rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2587-6554
pISSN - 2219-4061
DOI - 10.30946/2219-4061-2019-9-3-51-57
Subject(s) - medicine , diverticulum (mollusc) , vesicoureteral reflux , surgery , anastomosis , laparoscopy , urinary system , reflux , general surgery , disease
. 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.