Email this article 
Laparoscopic resection of a bladder diverticulum in children
- 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:
- Republican Children’s Clinical Hospital city of Syktyvkar
- Syktyvkar State University named after Pitirim Sorokin
- Regional Children’s Clinical Hospital
- 2nd Children’s Hospital
- Emergency Care Hospital № 7
- Morozov City Children’s Clinical Hospital
- Pediatric Republican Clinical Hospital of the Ministry of Healthcare
- Regional Children’s Clinical Hospital. N. N. Silischeva
- Issue: Vol 9, No 3 (2019)
- Pages: 51-57
- Section: Original Study Articles
- URL: https://rps-journal.ru/jour/article/view/592
- DOI: https://doi.org/10.30946/2219-4061-2019-9-3-51-57
- ID: 592
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.
Keywords
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
Russian FederationV. 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
Russian FederationV. 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
BelarusS. 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
Russian FederationO. 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
Russian FederationN. 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
Russian FederationA. 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
Russian FederationA. 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
Russian FederationV. 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
Russian FederationReferences
- Alan J. Wein, Louis R. Kavoussi, Alan W. Partin, Craig A. Peters. Campbell-Walsh Urology [Book] – Philadelphia: Elsevier, 2016. p.3384–5
- 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
- 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
- Stephens F. D. The vesicoureteral hiatus and paraureteral diverticula. J Urol. 1979;121:786–91
- Garat J. M., Angerri O., Caffaratti J., Moscatiello P. Primary congenital bladder diverticula in children. Urology. 2007; 70:984–8
- Hutch J. A. Vesicoureteral reflux in the paraplegic: cause and correction. J. Urol. 1952;68:457–69
- 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
- Das S. Laparoscopic removal of bladder diverticulum. J. Urol. 1992;148:1837–9
- 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
