A very easy technique of stenting for laparoscopic pyeloplasty: Penbegul intravenous cannula (PICA) technique

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dc.authorid0000-0002-8366-8545en_US
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorAtar, Murat
dc.contributor.authorAlan, Cem
dc.contributor.authorBozkurt, Yaşar
dc.contributor.authorHatipoğlu, Namık Kemal
dc.date.accessioned2024-03-06T12:17:41Z
dc.date.available2024-03-06T12:17:41Z
dc.date.issued2019en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.description.abstractIntroduction: 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.en_US
dc.identifier.citationPenbegül, 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.en_US
dc.identifier.doi10.1590/S1677-5538.IBJU.2018.0303
dc.identifier.endpage182en_US
dc.identifier.issn1677-5538
dc.identifier.issue1en_US
dc.identifier.pmid30648825
dc.identifier.scopus2-s2.0-85062860873
dc.identifier.scopusqualityQ2
dc.identifier.startpage179en_US
dc.identifier.urihttps://www.scielo.br/j/ibju/a/TV3psRF8Hs7d4Qz4HPQ8KJw/?lang=en
dc.identifier.urihttps://hdl.handle.net/11468/13535
dc.identifier.volume45en_US
dc.identifier.wosWOS:000459340200024
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAtar, Murat
dc.institutionauthorAlan, Cem
dc.institutionauthorBozkurt, Yaşar
dc.institutionauthorHatipoğlu, Namık Kemal
dc.language.isoenen_US
dc.publisherBrazilian Society of Urologyen_US
dc.relation.ispartofInternational Braz J Urol
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectOperativeen_US
dc.subjectStentsen_US
dc.subjectSurgical proceduresen_US
dc.titleA very easy technique of stenting for laparoscopic pyeloplasty: Penbegul intravenous cannula (PICA) techniqueen_US
dc.titleA very easy technique of stenting for laparoscopic pyeloplasty: Penbegul intravenous cannula (PICA) technique
dc.typeArticleen_US

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