Laparoscopic resection of a bladder diverticulum in children

I. M. Kagantsov; V. V. Sizonov; V. I. Dubrov; S. G. Bondarenko; O. S. Shmyrov; N. R. Akramov; A. V. Pirogov; A. V. Kulaev; V. G. Svarich

doi:10.30946/2219-4061-2019-9-3-51-57

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2019, Vol. 9 ›› Issue (3) : 51 -57. DOI: 10.30946/2219-4061-2019-9-3-51-57

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Laparoscopic resection of a bladder diverticulum in children

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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

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

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

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

Narochanskaya St., 17, Minsk, 220020

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

Kazachskaya St., 1, Volgograd, 400001

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

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

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

Listvennaya St., 27, Kazan, 420129

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

Medikov St., 6, Astrakhan, 414011

Arthur V. KULAEV – pediatric urologist

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

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

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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

diverticulum / urinary bladder / children / laparoscopy

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I. M. Kagantsov, V. V. Sizonov, V. I. Dubrov, S. G. Bondarenko, O. S. Shmyrov, N. R. Akramov, A. V. Pirogov, A. V. Kulaev, V. G. Svarich. Laparoscopic resection of a bladder diverticulum in children. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 2019, 9(3): 51-57 DOI:10.30946/2219-4061-2019-9-3-51-57

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