Endovideosurgical interventions in the bladder diverticulum in children

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. Among congenital and acquired malformations in the urinary system organs, one of the topical issues is the choice of management modalities in bladder diverticulum. Modern equipment and development of minimally invasive techniques have expanded the variability of curative approaches, which is especially important for children with comorbidities.
Purpose. To optimize surgical treatment of children with bladder diverticulum using minimally invasive surgical interventions, to reduce the rate of intraoperative and postoperative complications as well as to improve endovideosurgical access for the successful implementation of reconstructive interventions based on the authors' analysis of their own material on treating children with bladder diverticula.
Material and methods. Five patients of different age having a bladder diverticulum with various anatomical features and with comorbidities were treated at the surgical department of St. Luka Clinical Research Specialized Center for Children (Moscow, Russia) in 2021–2022. The researchers could find the principle for selecting a proper surgical modality after they had assessed positive and negative aspects of each type of surgical access.
Results. While choosing the type of surgical access in the discussed patients, the authors took into account anatomical features, concomitant pathologies, findings of instrumental diagnostics. As a result, all patients had good outcomes. The authors demonstrated a successful application of endovideosurgical techniques in the management of patients with congenital bladder diverticula after they had analyzed their own clinical material. They also described effective techniques for reconstructing ureterovesical anastomosis area with consideration of its place in relation to the diverticulum.
Conclusion. The pneumovesicoscopic access for congenital bladder diverticulum removal is the most rational one, as it allows to accurately restore the relationship of anatomical structures.

About the authors

R. Yu. Valiev

St. Luka Clinical Research Specialized Center for Children

Author for correspondence.
Email: rudicov-rudic89@mail.ru
ORCID iD: 0000-0003-1805-9169

 Revaz Yu. Valiev, pediatric surgeon 

 119620, Moscow 

Россия

A. A. Oganisyan

St. Luka Clinical Research Specialized Center for Children

Email: fake@neicon.ru
ORCID iD: 0000-0002-5495-4315

 119620, Moscow 

Россия

A. S. Vrublevskij

St. Luka Clinical Research Specialized Center for Children

Email: fake@neicon.ru
ORCID iD: 0000-0001-8550-8636

 119620, Moscow 

Россия

Ya. A. Galkina

St. Luka Clinical Research Specialized Center for Children

Email: fake@neicon.ru

 119620, Moscow 

Россия

I. S. Ahmetzhanov

St. Luka Clinical Research Specialized Center for Children

Email: fake@neicon.ru
ORCID iD: 0000-0003-2517-7446

 119620, Moscow 

Россия

S. G. Vrublevskij

St. Luka Clinical Research Specialized Center for Children;
Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0001-9400-7673

 119620, Moscow 

 117997, Moscow 

Россия

E. N. Vrublevskaya

St. Luka Clinical Research Specialized Center for Children;
Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0001-7312-5945

 119620, Moscow 

 117997, Moscow 

Россия

References

  1. Radmayr C., Bofaert G., Burgu B., et al. EAU Guidelines on paeditric urology. European Association of Urology; 2022.
  2. Halaseh S.A., Leslie S.W. Bladder Diverticulum. 2022 Nov 28. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  3. 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(5): 501. doi: 10.1007/s004640000089
  4. Wein A.J., et al. Campbell’s urology, 9th ed, chap 121. 2002: 3579–80.
  5. Parra R.O., Jones J.P., Andrus C.H., Hagood P.G. Laparoscopic diverticulectomy: preliminary report of a new approach for the treatment of bladder diverticulum. J Urol. 1992; 148(3): 869–71. doi: 10.1016/s0022-5347(17)36748-4
  6. Rao R., Nayyar R., Panda S., Hemal A.K. Surgical techniques: robotic bladder diverticulectomy with the da Vinci-S surgical system. J Robot Surg. 2007; 1(3): 217–20. doi: 10.1007/s11701-007-0030-1
  7. Wein A.J., Kavoussi L.R., Partin A.W., Peters C.A. Campbell-Walsh Urology. Philadelphia: Elsevier; 2016.
  8. Каганцов И.М., Сизонов В.В., Дубров В.И., Бондаренко С.Г., Шмыров О.С., Акрамов Н.Р., Пирогов А.В., Кулаев А.В., Сварич В.Г. Лапароскопическая резекция дивертикула мочевого пузыря у детей. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2019; 9(3): 51–7. https://doi.org/10.30946/2219-4061-2019-9-3-51-57
  9. Врублевский А.С., Врублевский С.Г. Лапароскопическая реимплантация мочеточника при рецидивах пузырно-мочеточникового рефлюкса у ребёнка 12 лет. Детская хирургия. 2021; 25(5): 330–6.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2023 Russian Journal of Pediatric Surgery

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies