ESPU Congress 2018 - Abstract Book

211

11–14 APRIL, 2018, HELSINKI, FINLAND

VD-23 (VS without presentation)

LAPAROSCOPIC FORMATION OF A CONTINENT

CATHETERIZABLE STOMA WITH URETER

Laura CABARCAS, Maria MOLINA, Carlos CADAVAL, Estrella DE LA TORRE, Rocio

VIZCAINO, Sebastian ROLDAN and Rosa ROMERO

Virgen del Rocio Children's Hospital, Pediatric surgery, Seville, SPAIN

PURPOSE

Management of children with severe bladder dysfunction and incomplete bladder empting in patients

with PUV can be challenging, specially in patients with difficult or impossible urethral catheteriza-

tion. The aim of our video is to demonstrate the laparoscopic creation of a catheterizable continent

stoma with native ureter associated with a non-functioning kidney.

MATERIAL AND METHODS

A four-year-old male with posterior uretral valves and bladder dysfunction requiring CIC with a right

non-functioning kidney associated with vesicoureteral reflux and recurrent febrile urinary tract

infections. Urethral catheterization for CIC was offered, but was unsuccessful due to mechanical

difficulty and pain.

A laparoscopic right nephrectomy was performed and the distal ureter preserved for the creation of

a continent catheterizable stoma. A Lich-Gregoire extravesical laparoscopic procedure was done

and an extracorporeal Kalicynski ureteral tapering performed through the umbilical port, to reduce

the risk of stoma leak and improve the straight passage of the catheter. The cutaneous stoma was

then performed at the umbilical site.

RESULTS

Patient postoperative recovery was uneventful and was discharged from hospital at 3

postopera-

tive day and intermittent catheterization was initiated six weeks postoperatively.

CONCLUSIONS

The laparoscopic creation of a continent catetherizable stoma with native ureter is safe and a suit-

able option for patients with bladder dysfunction who must undergo a nephrectomy. Moreover, the

laparoscopic technique provides all the benefits of minimally invasive surgery.

VD-24 (VS without presentation)

HIDDEN INCISION ROBOT ASSISTED LAPAROSCOPIC

PYELOPLASTY (HIDES) USING TRANSMESOCOLIC

APPROACH

Koray AGRAS, Erem ASIL and M.Ersagun ARSLAN

Ataturk Teaching and Research Hospital, Urology, Ankara, TURKEY

PURPOSE

In "Robot-assisted Laparoscopic Pyeloplasty" (RALP) using HIdES technique (Hidden Incision

Endoscopic Surgery), all port entrances except the one in umblicus are made below the Pfannenstiel

incision line. We aimed not only to test the safety and feasibility of RALP-HIdES procedure using

transmesocolic approach, but also to avoid visible port site scars on the anterior abdominal wall,

probably the first time in the literature.