V1890 ROBOT-ASSISTED PARTIAL CYSTECTOMY FOR BLADDER CANCER OF A BLADDER DIVERTICULUM

Abstract

You have accessJournal of UrologyOncology, Bladder Oncology1 Apr 2012V1890 ROBOT-ASSISTED PARTIAL CYSTECTOMY FOR BLADDER CANCER OF A BLADDER DIVERTICULUM Wooju Jeong, Quoc-Dien Trinh, Khurshid R. Ghani, Jesse D. Sammon, Jay Jhaveri, Shyam Sukumar, Ali Dabaja, Emil Kheterpal, Fred Muhletaler, Mani Menon, and Piyush K. Agarwal Wooju JeongWooju Jeong Detroit, MI More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh Detroit, MI More articles by this author , Khurshid R. GhaniKhurshid R. Ghani Detroit, MI More articles by this author , Jesse D. SammonJesse D. Sammon Detroit, MI More articles by this author , Jay JhaveriJay Jhaveri Detroit, MI More articles by this author , Shyam SukumarShyam Sukumar Detroit, MI More articles by this author , Ali DabajaAli Dabaja Detroit, MI More articles by this author , Emil KheterpalEmil Kheterpal Detroit, MI More articles by this author , Fred MuhletalerFred Muhletaler Detroit, MI More articles by this author , Mani MenonMani Menon Detroit, MI More articles by this author , and Piyush K. AgarwalPiyush K. Agarwal Detroit, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2045AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The incidence of bladder diverticula is 1.7%, while the incidence of urothelial carcinoma within these diverticula ranges from 0.8 to 13%. In this video, we report our technique of robot-assisted partial cystectomy for urothelial cancer located within a bladder diverticulum. METHODS Our patient was a 64 year-old male who presented with a history of prostate cancer on active surveillance. He underwent a cystoscopy for increasing post-void residual, which revealed an incidental bladder tumor within a diverticulum. This tumor turned out to be a high-grade pTa lesion. A transperitoneal robot-assisted laparoscopic approach was used to mobilize the bladder. The bladder lesion was marked with a hook cautery circumferentially. Simultaneous cystoscopic monitoring was performed to ensure a margin of resection of 2 cm around the lesion. Bladder reconstruction and bilateral pelvic lymph node dissection were subsequently completed. RESULTS Our console time was 5 hours with an estimated blood loss of 50 mL. No JP drain was placed. There were no intra or post-operative complications. Diet was resumed on postoperative day 1 and the patient was discharged on postoperative day 1. Pathological examination revealed an urothelial carcinoma pTaN0Mx with low grade and negative surgical margins. He is doing well with no sign of recurrence at three months of follow-up. CONCLUSIONS Robot-assisted laparoscopic partial cystectomy is technically feasible and represents an alternative to open and conventional laparoscopic approaches. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e762-e763 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Wooju Jeong Detroit, MI More articles by this author Quoc-Dien Trinh Detroit, MI More articles by this author Khurshid R. Ghani Detroit, MI More articles by this author Jesse D. Sammon Detroit, MI More articles by this author Jay Jhaveri Detroit, MI More articles by this author Shyam Sukumar Detroit, MI More articles by this author Ali Dabaja Detroit, MI More articles by this author Emil Kheterpal Detroit, MI More articles by this author Fred Muhletaler Detroit, MI More articles by this author Mani Menon Detroit, MI More articles by this author Piyush K. Agarwal Detroit, MI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...