V13-10 ROBOTIC PARTIAL CYSTECTOMY FOR A URACHAL MASS

Abstract

You have accessJournal of UrologyBladder & Upper Tract Urothelial Oncology (V13)1 Sep 2021V13-10 ROBOTIC PARTIAL CYSTECTOMY FOR A URACHAL MASS Joshua Palka, Kenneth Sands, Nicholas Pickersgill, and Ramakrishna Venkatesh Joshua PalkaJoshua Palka More articles by this author , Kenneth SandsKenneth Sands More articles by this author , Nicholas PickersgillNicholas Pickersgill More articles by this author , and Ramakrishna VenkateshRamakrishna Venkatesh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002100.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urachal masses are rare entities with urachal adenocarcinoma comprising approximately 0.2% of bladder tumors. Due to its rarity, the optimal approach to these tumors is unknown. Previous series describe a retrograde approach for urachal mass excision. We present an antegrade robotic approach to en bloc urachal mass excision. METHODS: After IRB approval was granted, retrospective review was carried on all urachal masses at our institution. All robotic-assisted laparoscopic urachal mass excisions with partial cystectomy were included. Patient demographics as well as intra- and post-operative findings were evaluated. We then selected the most recent urachal mass en bloc excision to highlight our approach these rare entities. All procedures were performed with the da Vinci® Xi or Si platforms (Intuitive Surgical Inc., Sunnyvale, CA). RESULTS: A total of 12 patients (5 females and 7 males) were identified with mean age of 52.8 years (SD±13.2). Mean BMI was 28.3 (SD±6.6) kg/m2. The majority of masses were discovered on incidental imaging (58.3%) with umbilical drainage (25%) or gross hematuria (16.7%). There were a total of three patients (25%) diagnosed with urachal adenocarcinoma in the specimen. Mean operative time was 147 minutes (SD±52 minutes) with mean estimated blood loss of 19.2 mL (SD±19.7 mL). Mean mass size was found to be 5.4 cm (SD±2.7cm) and average length of stay was 1.1 days (SD±0.3 days). All patients underwent an antegrade approach to en bloc removal of the urachal mass. CONCLUSIONS: This video demonstrates an antegrade approach to en bloc urachal mass excision and partial cystectomy with bilateral pelvic lymph node dissection that is familiar to most Urologists. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1081-e1081 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joshua Palka More articles by this author Kenneth Sands More articles by this author Nicholas Pickersgill More articles by this author Ramakrishna Venkatesh More articles by this author Expand All Advertisement Loading ...