Single-Port Laparoscopic Augmentation Ileocystoplasty: The First Reported Case

Abstract

Introduction:

This is a report of the first case of single-port augmentation ileocystoplasty.

Materials and Methods (including a description of the video):

A 14-year-old boy with a body mass index of 19 kg/m² was scheduled for single-port laparoscopic augmentation ileocystoplasty. Indication for augmentation was hypocompliant bladder due to meningeo-myelocele. The umbilicus was chosen for the single port; the Olympus Triport^® was used, through which, a 5-mm zero-degree telescope was used for observation, in addition to three curved instruments. The operation is composed of three steps: (1) laparoscopic dissection of the bladder, (2) preparation of the ileum extracorporeally through the Triport, and (3) reintroduction of the ileal pouch to do the ileo-vesical anastomosis laparoscopically.

Results:

Operative time was 190 min with a blood loss <50 mL. Resume of oral feeding started after 36 h. Duration of hospital stay was 4 days, and duration of the urethral catheter was 10 days. We have not encountered any intraoperative and postoperative complication. The postoperative period passed smoothly, and the drain was removed after 4 days. The results of bladder capacity and function after 1 month postoperative are still awaited.

Conclusions:

Single-port laparoscopic augmentation ileocystoplasty is technically feasible, making it a potential alternative to open or laparoscopic augmentation ileocystoplasty in carefully selected patients.

All authors have declared no conflicts of interest exist.

Runtime of video: 6 mins 56 secs