LAPAROSCOPIC TRANSPERITONEAL BLADDER DIVERTICULECTOMY - SURGICAL TECHNIQUE

A large bladder diverticulum causing poor emptying in an 84-year-old m an was removed laparoscopically in a 6.5-h operation. The patient was discharged from the hospital on the third postoperative day, having ha d minimal analgesic requirements. A Councill catheter and stylet in th e diverticulum greatly facilitated identification of the sac with the laparoscope. Difficulties with intracorporeal knot tying were avoided by using the Lapra-Ty system. Experienced laparoscopic surgeons may fi nd this method of diverticulectomy valuable. With experience, the oper ating time should be reduced.