title: J-tube technique for double-j stent insertion during laparoscopic upper urinary tract surgical procedures.
abstract: Double-J stent insertion has been generally performed during laparoscopic upper urinary tract (UUT) surgical procedures to prevent transient urinary tract obstruction and postoperative flank pain from ureteral edema and blood clots. Several restrictive conditions that make this procedure difficult and time consuming, however, include the coiled distal ends of the flexible Double-J stent and the limited bending angle of the laparoscopic instruments. To overcome these limitations, we devised a Double-J stent insertion method using the new J-tube technique. Between July 2011 and May 2013, Double-J stents were inserted using the J-tube technique in 33 patients who underwent a laparoscopic UUT surgical procedure by a single surgeon. The mean stent placement time was 4.8±2.7 minutes, and there were no intraoperative complications. In conclusion, the J-tube technique is a safe and time-saving method for Double-J stent insertion during laparoscopic surgical procedures.
authors.affiliation: 1 Department of Urology, Seoul National University Hospital , Seoul, Korea.
authors.forename: Hyung Suk
authors.initials: HS
authors.lastname: Kim
authors.forename: Byung Ki
authors.initials: BK
authors.lastname: Lee
authors.forename: Jin-Woo
authors.initials: JW
authors.lastname: Jung
authors.forename: Jung Keun
authors.initials: JK
authors.lastname: Lee
authors.forename: Seok-Soo
authors.initials: SS
authors.lastname: Byun
authors.forename: Sang Eun
authors.initials: SE
authors.lastname: Lee
authors.forename: Chang Wook
authors.initials: CW
authors.lastname: Jeong
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents; D014517:Ureteral Obstruction / Q000517:prevention & control; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*