Double-J stent placement during laparoscopic ureterolithotomy: the "seagull" technique

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Laparoscopic transperitoneal ureterolithotomy (LUL) is a common procedure for ureteral stones.
• Accurate double-J (DJ) stent placement is crucial for postoperative ureteral healing and function.
• Current methods for laparoscopic DJ stent placement can be challenging and time-consuming.

Purpose of the Study:

• To introduce and describe a novel, simplified technique for double-J (DJ) stent placement during laparoscopic transperitoneal ureterolithotomy (LUL).
• To evaluate the safety and efficiency of this new technique in clinical practice.

Main Methods:

• A modified technique involving the preparation of a 6 French DJ stent with two hydrophilic guidewires inserted into its lateral holes.
• The guidewires are positioned to straighten the stent's curls, resembling a "seagull" shape for insertion.
• The prepared stent is inserted into the abdomen through a 10mm port and advanced into the ureterotomy.

Main Results:

• The
• seagull
• technique was successfully applied in 21 LUL cases.
• The technique was found to be time-saving and safe, with no perioperative complications.
• No ureteral damage or need for additional procedures was observed.

Conclusions:

• The described
• seagull
• technique offers a safe, efficient, and straightforward method for DJ stent placement during LUL.
• This technique simplifies the process, potentially reducing operative time and improving patient outcomes.