V10-06 ROBOTIC-ASSISTED LAPAROSCOPIC CALYCEAL DIVERTICULECTOMY

Abstract

You have accessJournal of UrologyReconstruction Upper Tract1 Apr 2017V10-06 ROBOTIC-ASSISTED LAPAROSCOPIC CALYCEAL DIVERTICULECTOMY Hugh Smith, Nathan Jung, Juan Class, Amar Singh, Darryl Turner, Dana Butler, and Chris Keel Hugh SmithHugh Smith More articles by this author , Nathan JungNathan Jung More articles by this author , Juan ClassJuan Class More articles by this author , Amar SinghAmar Singh More articles by this author , Darryl TurnerDarryl Turner More articles by this author , Dana ButlerDana Butler More articles by this author , and Chris KeelChris Keel More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2791AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES A calyceal diverticulum is a cystic cavity within the kidney that is lined by transitional epithelium and communicates with a calyx, or less commonly, with the renal pelvis. A calyceal diverticulum forms as a result of the failure of the degeneration of the ureteric bud. 0.2 – 0.5% are congenital; 40% are associated with calculi. This is a video demonstrating a robot assisted laparoscopic calyceal diverticulectomy. METHODS This video demonstrates two cases of robotic calyceal diverticulectomy the first patient is a 19 year-old caucasian female and the second patient is a 25 year-old caucasian female. Who both had sudden onset of flank pain and abdominal pain. Initial work up was consistent with infection; however on repeat imaging, both patients were found to have a calyceal diverticulum. Both patients underwent a robot assisted laparoscopic diverticulectomy. Initial dissection was similar to a partial nephrectomy with mobilization of the large bowel and exposure of the renal hilum. The diverticulum is then incised, drained, and excised to the infundibulum to prevent recurrence. Any remaining urothelium was fulgurated. RESULTS Both patients who underwent a robot assisted laparoscopic calyceal diverticulectomy are complication and re-admission free to date. CONCLUSIONS Robotic-assisted laparoscopic calyceal diverticulectomy is a feasible and safe option in the management of large persistent calyceal diverticulum. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1200 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Hugh Smith More articles by this author Nathan Jung More articles by this author Juan Class More articles by this author Amar Singh More articles by this author Darryl Turner More articles by this author Dana Butler More articles by this author Chris Keel More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...