Laparoscopic management of caliceal diverticulum: our experience, literature review, and pooling analysis

Caliceal diverticulum management has been performed using various modalities, including ureteroscopy, percutaneous treatment, and laparoscopy. We present our experience with laparoscopic management of caliceal diverticulum in two patients with large caliceal diverticulum and a history of failed open surgery because of the incorrect diagnosis of a simple renal cyst. In laparoscopy, both patients had an uneventful intraoperative and postoperative course. On follow-up, both of them were symptom free without any evidence of diverticulum in imaging. We reviewed the literature and found that laparoscopic management of caliceal diverticulum has been reported in 37 adult patients other than our cases. We performed a pooling analysis and discussed different aspects of the approach.