A very easy technique of stenting for laparoscopic pyeloplasty: Penbegul intravenous cannula (PICA) technique
Yükleniyor...
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Brazilian Society of Urology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: Double-J stent insertion during laparoscopic pyeloplasty is a difficult and time-consuming process and several techniques were defined to perform a double-J stent with an antegrade approach. In this study we present the technique (PICA) of antegrade double-J placement during laparoscopic pyeloplasty by using 14 gauge intravenous cannula. Surgical technique: After we complete the suturing of the posterior wall of the anastomosis during laparoscopic pyeloplasty, we first puncture the abdominal wall with a 14-gauge "intravenous cannula" from a location that provides most suitable angle for inserting the double-J stent into the ureter. We remove the metal needle of the cannula, and the sheath which has an inner diameter of 5.2F remains over the abdominal wall. The double J stent is then advanced from inside the cannula sheath to the intraperitoneal area; under laparoscopic imaging the stent is gently grasped at its distal end using an atraumatic laparoscopic forceps to insert it into the ureter. The stent is then pulled down to its proximal end, and after the guidewire is removed, the proximal end of the double-J stent is placed inside the renal pelvis with an atraumatic forceps. With this technique we can apply the double-J stent in just one step. Additionaly we can use a 14-gauge IV cannula sheath as a trocar when needed during laparoscopic pyeloplasty to retract an organ or reveal an anastomosis line. Comments: Our new technique of antegrade double-J placement during laparoscopic pyeloplasty by 14 gauge intravenous cannula sheath, is very easy and quick to perform.
Açıklama
Anahtar Kelimeler
Laparoscopy, Operative, Stents, Surgical procedures
Kaynak
International Braz J Urol
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
45
Sayı
1
Künye
Penbegül, N., Atar, M., Alan, C., Bozkurt, Y. ve Hatipoğlu, N. K. (2019). A very easy technique of stenting for laparoscopic pyeloplasty: Penbegul intravenous cannula (PICA) technique. International Braz J Urol, 45(1), 179-182.
