Insertion of an Internal-External Nephroureteral Stent During Pediatric Laparoscopic Pyeloplasty: Description of the Technique - 08/08/11
Reprint requests: Walid A. Farhat, M.D., Division of Urology, 555 University Avenue, RM M299, Toronto, Ontario, Canada. M5G 1X8.Résumé |
Objectives |
We present a technique for inserting an internal-external nephroureteral antegrade stent during a laparoscopic pyeloplasty.
Methods |
We describe the step-by-step technique for external-internal stent insertion during transperitoneal laparoscopic pyeloplasty: (1) Before completion of the ueretopelvic junction anastomosis, a 14-gauge angiocatheter is inserted and the external-internal stent is advanced under direct vision downward into the ureter. (2) A percutaneous access to the intrarenal collecting system is then performed by using another 14-gauge angiocatheter. (3) Once in the pelvis, a 1.9F stone basket is passed through the angiocath and the proximal arm of the stent is brought out through skin.
Conclusions |
The key advantage of this internal-external stent is that it can be removed in the clinic, thus not exposing the patient to another general anesthetic or cystoscopy for removal.
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Vol 71 - N° 6
P. 1199-1202 - juin 2008 Retour au numéro
Article précédent
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