Laparoscopic and Robotic Calyceal Diverticulectomy: Outcomes and Modifications of Technique

Taylor, Abby S.; Thiel, David D.

doi:10.1089/lap.2014.0516

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Similarly, having performed both laparoscopic and robotic-assisted laparoscopic renal diverticulectomy, Taylor and Thiel also advocated the use of robotic-assisted surgery especially for large renal diverticula. 19 This is because clamping the renal hilum and performing complex renorrhaphy are easier robotically.…”

Section: Discussionmentioning

confidence: 99%

A single institution experience: Robotic-assisted laparoscopic renal calyceal diverticulectomies, heminephrectomy and bladder diverticulectomies

Phan

Babawale

Karim

et al. 2021

Journal of Clinical Urology

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Introduction: The use of a robotic surgical system has transformed modern urological surgeries. There is little reported, however, on the use of robotic surgical systems in the management of benign urological diseases. We aim to report our experience in robotic-assisted surgery in renal calyceal diverticulectomies, heminephrectomy and bladder diverticulectomies. Methodology: We retrospectively collected the data of patients who had robotic-assisted surgery in our institution from 1 January 2014 to 31 December 2019. Results: Over the last five years, our institution has performed over 1500 robotic-assisted urological surgeries. In this five-year period, four robotic surgeons have performed a total of 25 robotic assisted operations to treat benign urological diseases including three renal calyceal diverticulectomies, one heminephrectomy and two bladder diverticulectomies. All patients were satisfied with the outcomes of their surgery when reviewed at their follow up consultations. Conclusion: We report a very positive experience in using robotic surgical systems in managing our series of benign urological conditions in our hospital. We should not restrict the use of this tool to cancer surgery, but consider the technology in our surgical armamentarium for all aspects of our urological practice.

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Section: Discussionmentioning

confidence: 99%

A single institution experience: Robotic-assisted laparoscopic renal calyceal diverticulectomies, heminephrectomy and bladder diverticulectomies

Phan

Babawale

Karim

et al. 2021

Journal of Clinical Urology

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Laparoscopic Treatment of Renal Cysts and Diverticula

Micali

Martorana

Pirola

et al. 2018

Smith's Textbook of Endourology

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Challenges in the diagnosis of calyceal diverticulum: A report of two cases and review of the literature

Zhang

Wang

et al. 2019

Journal of X-Ray Science and Technology: Clinical Applications

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Background: Calyceal diverticula outpouchings that occur rarely in the upper collecting system of the kidney and is often difficult to detect. In this study, we present two cases of calyceal diverticula and discuss their clinical characteristics and radiologic features. Patients and methods: In the presented two cases, we applied several imaging examinations, including delayed intravenous pyelography, retrograde pyelography and axial computerized tomographic (CT) scanning of the kidneys with and without contrast. Serum creatinine levels in fluid withdrawn from the diverticula were found to be significantly higher than the simultaneous serum creatinine levels. Intravenous injection of methylene blue through a ureteral catheter was also aided in the diagnosis. Calyceal diverticulum neck dilatation was performed through a percutaneous nephroscope. Results The two cases were diagnosed preoperatively and the operation was successful performed. The nephrostomy tube was removed seven days after surgery without complications. CT scans of the kidney after six months showed that the size of the calyceal diverticulum of two patients were considerably smaller than pre-surgery. There were no reports of pain in the lumbar region or other discomfort. Comments: Diagnosis of calyceal diverticulum mainly depend on a variety of imaging examinations, including the delayed intravenous pyelography, retrograde pyelography, and kidney CT plain scan plus enhanced scan. If the patient cannot be diagnosed by above methods, cyst fluid can be aspirated percutaneously to measure the preoperative creatinine level. If it is significantly higher than the serum creatinine level, the cyst fluid is considered urine, which can assist in the diagnosis of calyceal diverticulum. A ureteral catheter should also be inserted before operation namely, intravenous injection of methylene blue through a ureteral catheter is helpful for diagnosis. The choice of surgical treatment is based on the size and location of calyceal diverticulum and clinical manifestations.

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Laparoscopic and Robotic Calyceal Diverticulectomy: Outcomes and Modifications of Technique

Abstract: Laparoscopic and robotic calyceal diverticulectomies for symptomatic calyceal diverticulum are safe, effective treatment options for symptomatic calyceal diverticula.

Cited by 3 publications

References 9 publications

A single institution experience: Robotic-assisted laparoscopic renal calyceal diverticulectomies, heminephrectomy and bladder diverticulectomies

A single institution experience: Robotic-assisted laparoscopic renal calyceal diverticulectomies, heminephrectomy and bladder diverticulectomies

Laparoscopic Treatment of Renal Cysts and Diverticula

Challenges in the diagnosis of calyceal diverticulum: A report of two cases and review of the literature

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