ESPU Congress 2018 - Abstract Book

211 11–14 APRIL, 2018, HELSINKI, FINLAND VD-23 (VS without presentation) LAPAROSCOPIC FORMATION OF A CONTINENT CATHETERIZABLE STOMA WITH URETER Laura CABARCAS, Maria MOLINA, Carlos CADAVAL, Estrella DE LA TORRE, Rocio VIZCAINO, Sebastian ROLDAN and Rosa ROMERO Virgen del Rocio Children's Hospital, Pediatric surgery, Seville, SPAIN PURPOSE Management of children with severe bladder dysfunction and incomplete bladder empting in patients with PUV can be challenging, specially in patients with difficult or impossible urethral catheteriza- tion. The aim of our video is to demonstrate the laparoscopic creation of a catheterizable continent stoma with native ureter associated with a non-functioning kidney. MATERIAL AND METHODS A four-year-old male with posterior uretral valves and bladder dysfunction requiring CIC with a right non-functioning kidney associated with vesicoureteral reflux and recurrent febrile urinary tract infections. Urethral catheterization for CIC was offered, but was unsuccessful due to mechanical difficulty and pain. A laparoscopic right nephrectomy was performed and the distal ureter preserved for the creation of a continent catheterizable stoma. A Lich-Gregoire extravesical laparoscopic procedure was done and an extracorporeal Kalicynski ureteral tapering performed through the umbilical port, to reduce the risk of stoma leak and improve the straight passage of the catheter. The cutaneous stoma was then performed at the umbilical site. RESULTS Patient postoperative recovery was uneventful and was discharged from hospital at 3 rd postopera- tive day and intermittent catheterization was initiated six weeks postoperatively. CONCLUSIONS The laparoscopic creation of a continent catetherizable stoma with native ureter is safe and a suit- able option for patients with bladder dysfunction who must undergo a nephrectomy. Moreover, the laparoscopic technique provides all the benefits of minimally invasive surgery. VD-24 (VS without presentation) HIDDEN INCISION ROBOT ASSISTED LAPAROSCOPIC PYELOPLASTY (HIDES) USING TRANSMESOCOLIC APPROACH Koray AGRAS, Erem ASIL and M.Ersagun ARSLAN Ataturk Teaching and Research Hospital, Urology, Ankara, TURKEY PURPOSE In "Robot-assisted Laparoscopic Pyeloplasty" (RALP) using HIdES technique (Hidden Incision Endoscopic Surgery), all port entrances except the one in umblicus are made below the Pfannenstiel incision line. We aimed not only to test the safety and feasibility of RALP-HIdES procedure using transmesocolic approach, but also to avoid visible port site scars on the anterior abdominal wall, probably the first time in the literature.