Simultaneous Transvesical Laparoendoscopic Single-Port Diverticulectomy and Cystolithotripsy

Abstract

Abstract Introduction: Transvesical laparoendoscopic single-site surgery (T-LESS) is a novel minimally invasive approach that has been introduced to decrease the morbidity related to laparoscopic multiport placement and to improve cosmetic results. This technique was first used for foreign body removal from the bladder.1 We previously described a practical application of this method for bladder diverticulectomy.2 A potentially significant role of T-LESS has been noticed by other investigators.3 We present a video of the use of this approach for simultaneous bladder diverticulectomy and cystolithotripsy.4 Materials and Methods: A total of 10 patients underwent the T-LESS diverticulectomies. In two patients, additional procedures (ureteral reimplantation or cystolithotripsy) were carried out simultaneously, using the same access. In this video, we present the T-LESS diverticulectomy and cystolithotripsy in a 58-year-old male patient found to have a symptomatic diverticulum and intradiverticular multiple cal...