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Related Experiment Video

Updated: Jun 18, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Laparoscopic diverticulocystoplasty.

Pejman Shadpour1, Masoud Etemadian

  • 1Department of Laparoscopic Surgery, Hasheminejad Kidney Center (HKC), Iran University of Medical Science, Tehran, Iran. pshadpour@gmail.com

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 18, 2009
PubMed
Summary

Laparoscopic bladder augmentation using a large diverticulum improved bladder capacity and reduced pressure in patients with low-compliance bladders. This novel technique offers functional improvement with minimal morbidity, avoiding traditional diverticulectomy.

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Last Updated: Jun 18, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Reconstructive Urology

Background:

  • Secondary bladder diverticula can cause obstruction and necessitate treatment.
  • Traditional treatment often involves surgical excision of the diverticulum.
  • A novel approach utilizing the diverticulum for augmentation is presented.

Purpose of the Study:

  • To evaluate the efficacy of laparoscopic diverticulocystoplasty for bladder augmentation.
  • To assess functional and anatomical outcomes in patients with low-capacity, noncompliant bladders and hydroureteronephrosis.

Main Methods:

  • Laparoscopic freehand sutured diverticulocystoplasty was performed in 3 adult male patients.
  • Patients had large, poorly draining diverticula and compromised upper urinary tracts.
  • Follow-up included cystography, sonography, antegrade pyelography, and laboratory studies.

Main Results:

  • Procedures were completed with uneventful recovery and discharge on postoperative day 3.
  • Significant increases in functional bladder capacity (mean 266%) and reductions in detrusor pressure (mean 190%) were observed.
  • Upper tract dilation improved, and intermittent catheterization frequency decreased.

Conclusions:

  • Laparoscopic bladder augmentation using a dominant diverticulum is a viable alternative to diverticulectomy.
  • This technique offers significant functional improvement for noncompliant bladders with minimal morbidity.
  • It effectively addresses bladder-neck and ureteral obstruction caused by large diverticula.