V08-02 ROBOTIC ASSISTED LAPAROSCOPIC PARTIAL CYSTECTOMY USING THE DA-VINCI SINGLE-PORT ROBOTIC SYSTEM

Abstract

You have accessJournal of UrologyNOTES/LESS (V08)1 Sep 2021V08-02 ROBOTIC ASSISTED LAPAROSCOPIC PARTIAL CYSTECTOMY USING THE DA-VINCI SINGLE-PORT ROBOTIC SYSTEM Michael Tonzi, and Amar Singh Michael TonziMichael Tonzi More articles by this author , and Amar SinghAmar Singh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002041.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To report the initial case of an extraperitoneal, trans-vesicle robotic assisted laparoscopic partial cystectomy including en-bloc excision of a bladder diverticulum with urothelial carcinoma using the da Vinci Single Port robotic system. METHODS: A 64-year-old male with a history of urothelial carcinoma was found to have recurrence of his disease inside of a narrow neck bladder diverticulum on surveillance cystoscopy. Remaining bladder was evaluated with random biopsies and there was no evidence of urothelial carcinoma in the rest of the bladder. The da Vinci Single Port robotic system was used to perform an extraperitoneal, trans-vesicle partial cystectomy with en-bloc resection. The bladder was entered extra-peritoneally, and the robotic port was docked directly within the bladder using a small Gelport. The diverticulum containing the tumor was excised en-bloc from within the bladder circumferentially and the defect closed. RESULTS: The patient tolerated the procedure uneventfully. The total operative time was 112 minutes. The patient was discharged on postoperative day one. At follow up, cystography demonstrated no contrast extravasation and his urethral catheter was removed on post-operative day eight. Final pathology revealed negative surgical margins. CONCLUSIONS: This is the initial report of a trans vesicle robotic assisted en-bloc partial cystectomy for a recurrent urothelial carcinoma in a bladder diverticulum using the da Vinci Single Port robotic system. This provides an alternative to traditional minimally invasive approaches not amenable to trans-urethral resection. Source of Funding: NA © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e601-e601 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Tonzi More articles by this author Amar Singh More articles by this author Expand All Advertisement Loading ...