V9-04: One-stage transvesical laparoendoscopic single-site surgery (T-LESS) for removal of two bladder dive

V9-04: One-stage transvesical laparoendoscopic single-site surgery (T-LESS) for removal of two bladder diverticula in a female patient.

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INTRODUCTION

Bladder diverticula are usually encountered in males, and they are a rarity in women, especially in the absence of obstruction. Open surgery, as well as laparoscopic or robotic, or single-port surgery have been applied successfully to remove bladder diverticula. To the best of our knowledge, no single-port diverticulectomies have been performed in women. We present the case of using the transvesical laparoendoscopic single-port surgery (T-LESS) for excision of two bladder diverticula in a woman

METHODS

In August 2016, we carried out the T-LESS access on a 67-year old woman to remove two symptomatic bladder diverticula in one session. The patient was placed in the lithotomy position and was under general anesthesia. _x000D_ The procedure was performed transvesically (percutaneous intraluminal approach) with a single-port device (Tri-Port+) via a 1.5-cm incision made 3 cm above the pubic symphysis. Standard 10-mm optic and straight laparoscopic instruments were used. The diverticula were dissected and removed from the bladder with a combination of standard laparoscopic and endoscopic instruments introduced through the TriPort+ or the urethra. The bladder wall openings were closed by running absorbable 2/0 polyglactin sutures. An 18F Foley catheter was left in place for 6 days._x000D_

RESULTS

The operation lasted 120 minutes. Blood loss was minimal, and no complications were observed. The postoperative period was uneventful. The patient was discharged within 18 hours of surgery. During a nine-week follow-up, the patient reported the significant improvement in the severity of symptoms. Laboratory examination results were all within the normal range.

CONCLUSION

The T-LESS procedure can be considered as a valuable option for diverticulectomies in female patients because of its minimal invasiveness, short hospital stay and fast recovery time

Funding: None