Laparoscopic resection of a bladder diverticulum in children

Ilya M. Kagantsov, Vladimir V. Sizonov, Vitaliy I. Dubrov, Sergey G. Bondarenko, Oleg S. Shmyrov, Nail R. Akramov, Alexandr V. Pirogov, Anton V. Kulaev, Vyacheslav G. Svarich

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction. Recently, there have been publications devoted to laparoscopic removal of a bladder ear. The article sums up the multi-center experience in laparoscopic diverticulectomy. Materials and methods. Case histories of 30 children who underwent surgeries from 2012 to 2019 in 7 outpa-tient clinics were analyzed retrospectively. 22 boys (73.3%) and 8 girls (26.7%) were operated. At the time of the surgery, the mean age of the patients was 53.5 months. 15 (50.0%) children had right-sided diverticulum, 13 (43.3%) children suffered from left-sided one, and 2 had bilateral diverticulum (6.7%). The disease onset was presented by acute urinary tract infection in 25 (83.3%) children and urination dysfunction in 5 (16.7%). The laparoscopic access technique was used in all children. An isolated diverticulum was excised and the wall of the urinary bladder was restored. When the diverticulum was combined with a vesicoureteral reflux or ure-terovesical anastomosis, ureteral reimplantation was added. Results. No conversions were found during the laparoscopy. Following the surgery, 3 (10.0%) children developed stent-associated pyelonephritis. No patient had complications during the observation that lasted from 6 months to 6 years. Conclusion. Laparoscopic technique is an effective and safe approach of treating a bladder ear in children.

Original languageEnglish
Pages (from-to)51-57
Number of pages7
JournalRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care
Issue number3
StatePublished - 2019
Externally publishedYes


  • children
  • diverticulum
  • laparoscopy
  • urinary bladder


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