Appendicovesicostomy is an established continent urinary conduit. The development of minimally invasive techniques and the reduction of operative time instigated the search for new techniques. In this video we show the laparoscopic transabdominal technique for appendicovesicostomy using U-stitch technique as proposed by Santiago Weller et al. We present a case of a teenager with neurogenic bladder and intolerance for urethral catheterization. The procedure was performed using a transperitoneal approach. The appendix was detached from the colon preserving its pedicle. The proximal appendix was spatulated and pulled through a hiatus created in the distal vesical mucosa into the bladder using a U-stitch, on a Shanfield fashion anastomosis in the anterior wall of the bladder. Detrusor was approximated over the appendix creating an antireflux mechanism. The tip of the appendix was brought out to the right iliac fossa and ostomy was fashioned. The operative time was 180 min. A Foley catheter was placed through the conduit. The case was done without any intraoperative or postoperative complications. Laparoscopic appendicovesicostomy with U-stitch technique is feasible and can be easily done in a short operative time in centers with expertise in laparoscopic surgeries with low complexity and high reproducibility.
Journal of pediatric urology. 2020 Aug 10 [Epub ahead of print]
Artur de Oliveira Paludo, Luis Fernando de Cesaro Castro, Antônio Rebello Horta Gorgen, Victor Hugo Vione Schwengber, Emanuel Burck Dos Santos, Patric Tavares, Tiago Elias Rosito, Juan Pablo Corbetta
Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: ., Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, Rio Grande do Sul, Brazil., Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, Rio Grande do Sul, Brazil; Universidade Federal do Rio Grande Do Sul, Av. Paulo Gama, 110, Porto Alegre, Rio Grande do Sul, Brazil., Hospital de Pediatría Juan P. Garrahan, Combate de los Pozos 1881, Ciudad de Buenos Aires, Argentina.