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



Título del documento: A very easy technique of stenting for laparoscopic pyeloplasty: penbegul intravenous cannula (PICA) technique
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434838
ISSN: 1677-5538
Autors: 1
2
2
2
2
Institucions: 1VM Medical Park Bursa Hospital, Department of Urology, Bursa. Turquía
2Dicle University, School of Medicine, Diyarbakir. Turquía
Any:
Període: Ene-Feb
Volum: 45
Número: 1
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado, descriptivo
Resumen en inglés 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. Surgıcal technıque: 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
Disciplines Medicina
Paraules clau: Nefrología,
Cirugía,
Pieloplastia,
Stent,
Laparoscopia,
Técnicas quirúrgicas
Keyword: Nephrology,
Surgery,
Pyeloplasty,
Stent,
Laparoscopy,
Surgical techniques
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