V1544 ROBOT-ASSISTED BLADDER DIVERTICULECTOMY

Abstract

You have accessJournal of UrologyReconstruction1 Apr 2010V1544 ROBOT-ASSISTED BLADDER DIVERTICULECTOMY Marcelo Orvieto, Rafael Coelho, Sanket Chauhan, Bobby Ardila, Kenneth Palmer, and Vipul Patel Marcelo OrvietoMarcelo Orvieto More articles by this author , Rafael CoelhoRafael Coelho More articles by this author , Sanket ChauhanSanket Chauhan More articles by this author , Bobby ArdilaBobby Ardila More articles by this author , Kenneth PalmerKenneth Palmer More articles by this author , and Vipul PatelVipul Patel More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1296AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The open approach has traditionally been utilized for the surgical management of bladder diverticuli. With increasing popularity and experience, laparoscopic and most recently, robot-assisted bladder diverticulectomy have been described. However, intracorporeal identification of the divierticulum can be challenging. The following video exemplifies the use of robot-assistance with combined endoscopic assistance during bladder diverticulectomy. METHODS A 63-year-old patient with long-term history of lower urinary tract symptoms status post TURP, presented to our office with recurrent urinary tract infections and elevated post-void residuals. Cystoscopic examination revealed a large bladder diverticulum in the retro-trigonal area. The patient elected to undergo robot-assisted bladder diverticulectomy. Prior to docking the robot, bilateral ureteral catheters were placed and the rigid cystoscope was kept in the bladder during the entire case to assist with intracorporeal diverticular identification and dissection. Using this method, the diverticulum was easily recognized and dissected from the surrounding tissue with violating it. After, the diverticulum was fully excised, the bladder was closed in two layers. RESULTS Total operative time was 90 minute and blood loss was 50cc. The patient was discharged on postoperative day (POD) number 1. A cystogram on POD #6 before the Foley catheter was removed confirmed indemnity of the bladder. CONCLUSIONS Robot-assisted bladder diverticulectomy is feasible and provides the benefits of the minimally invasive approach to patients. Combined endoscopic visualization facilitates intracorporeal recognition and dissection of the diverticulum. Celebration, FL© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e595 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcelo Orvieto More articles by this author Rafael Coelho More articles by this author Sanket Chauhan More articles by this author Bobby Ardila More articles by this author Kenneth Palmer More articles by this author Vipul Patel More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...