Application effect of combination treatment of laparoscope and resectoscope for bladder diverticula(report of 9 cases)
- VernacularTitle:腹腔镜联合电切镜膀胱憩室切除术的应用效果(附9例报告)
- Author:
Chao WANG
1
;
Meixia ZHENG
1
;
Rongyuan ZHANG
1
;
Shiqing ZHANG
1
;
Dapeng YU
1
;
Lei XING
1
;
Kuan JIA
1
;
Chuan LÜ
1
;
Yuehai YU
1
Author Information
- Publication Type:Journal Article
- Keywords: bladder diverticula; bladder diverticulectomy; laparoscope; resectoscope; ureteral catheter
- From: China Journal of Endoscopy 2025;31(5):84-88
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the surgical technique and clinical value of laparoscopic bladder diverticulectomy guided by inserting ureteral catheters into the diverticulum under plasmakinetic resectoscope.Methods From December 2018 to May 2024,9 patients underwent laparoscopic bladder diverticulectomy in combination with resectoscope.Each patient had a solitary bladder diverticulum with a median maximum diameter of 6.40(5.70,7.40)cm(range:5.0～8.5 cm).Among the 9 patients,3 patients had concurrent benign prostatic hyperplasia(BPH)and simultaneously underwent transurethral plasmakinetic resection of the prostate;1 patient had concurrent both BPH and bladder calculi,requiring simultaneously underwent plasmakinetic resection of the prostate and bladder calculi removal;2 patients required ureteral reimplantation as the diverticulum was directly involving the ureteral orifice;1 case underwent ureteroscopic double-J stent implantation because the opening of the ipsilateral ureter was adjacent to the entrance of the diverticulum.Results Bladder diverticulectomy was successfully performed in the all patients.Median operative time was 160.00(120.00,317.50)min(range:85～345 min).Median estimated blood loss was 20.00(10.00,150.00)mL(range:10～300 mL).No iatrogenic injuries to adjacent organs were observed.Pelvic drains were removed 1～3 d postoperatively,with no urine leakage.Urinary catheters were maintained for 7～10 d after operation.Follow-up at 3～12 months showed no recurrence or hydronephrosis in any of the patients.Conclusion Laparoscopic resection of bladder diverticula guided by ureteral catheter placed into bladder diverticula by means of resectoscope has the advantages of less trauma,less bleeding and faster recovery,and is an effective measure for the treatment of bladder diverticula.
