title: Laparoendoscopic single-port transvesical diverticulectomy: preliminary clinical experience.
abstract: OBJECTIVE
  We present our single-center experience with three patients who were undergoing laparoendoscopic single-site (LESS) diverticulectomy through a single-port device introduced directly into the bladder.
  
  
  METHODS
  During March and April 2011, we operated on three men aged 62 to 76 years (mean 67 y) for symptomatic bladder diverticula using a standard lithotomy position and general anesthesia. The procedure was performed transvesically (percutaneous intraluminal approach) with a single-port device (four-channel) via a 1.5-cm incision made 2 cm above the pubic symphysis. Standard 10-mm optic and rigid laparoscopic instruments were used. The defect of the bladder wall was closed with an absorbable 3/0 running V-Loc suture. An 18F Foley catheter was left for 4 to 7 days.
  
  
  RESULTS
  The average operative time was 128 minutes (range 80-175 min). The blood loss was minimal. Patients were discharged on the third postoperative day with no intra-, nor postoperative complications. The 3-month follow-up confirmed good operative results in all cases.
  
  
  CONCLUSIONS
  We consider laparoendoscopic single-port transvesical excision of bladder diverticulum as a feasible and safe procedure and a valuable treatment option for bladder diverticulectomy.
authors.affiliation: Department of Urology, Medical University of Gdańsk, Gdańsk, Poland. mroslan@esculap.pl
authors.forename: Marek
authors.initials: M
authors.lastname: Roslan
authors.forename: Marcin M
authors.initials: MM
authors.lastname: Markuszewski
authors.forename: Jakub
authors.initials: J
authors.lastname: Kłącz
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Krajka
mesh_terms: D000368:Aged; D004240:Diverticulum / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D001743:Urinary Bladder / Q000601:surgery*