Laparoscopic Diverticulectomy: Preliminary Report of a New Approach for the Treatment of Bladder Diverticulum

Parra, Raul O.; Jones, J. Paul; Andrus, Charles H.; Hagood, Paul G.

doi:10.1016/s0022-5347(17)36748-4

Cited by 86 publications

(40 citation statements)

References 16 publications

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“…En 1992, Parra et coll. 5 , puis Das 6 ont été les premiers à faire état d'une diverticulectomie par laparoscopie transpéritonéale. Nadler décrivait en 1995 une prise en charge par voie rétropéritonéale 7 .…”

Section: Discussionunclassified

Un diverticule géant para urétéral chez l’enfant révélé par une masse pelvienne

Kassogue

Diarra²,

Y³

et al. 2014

CUAJ

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RésuméNous rapportons un cas de diverticule géant para-urétéral chez un enfant de 18 mois, du point de vue des aspects cliniques, diagnostiques et thérapeutiques. Aucune anomalie associée n'a été relevée. Le patient était un enfant de sexe masculin, et la symptomatologie était dominée par la rétention aiguë d'urine et la présence d'une infection urinaire. La chirurgie a consisté en une diverticulectomie laparoscopique avec réimplantation urétéro-vésicale. L'évolution a été favorable avec disparition des signes urinaires.

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Section: Discussionunclassified

Un diverticule géant para urétéral chez l’enfant révélé par une masse pelvienne

Kassogue

Diarra²,

Y³

et al. 2014

CUAJ

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“…Although almost all diverticula are asymptomatic, they may produce urinary tract infection, reflux, lithiasis and urinary incontinence [1], in addition to reports of diverticula occupied by malignant tumors [4]. Regarding this, it is logical to set the indication for open, laparoscopic or, recently, robotic surgery of the diverticulum.…”

Section: Discussionmentioning

confidence: 99%

“…None of the 8 published papers about robotic diverticulectomy had more than 5 patients [4][5][6][7][8][9][10][11][12]. We selected 17 of the 21 articles about laparoscopic diverticulectomy (n = 46 patients) [1,3,4,[12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Search Strategy and Systematic Literature Reviewmentioning

confidence: 99%

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Bladder Diverticulum Robotic Surgery: Systematic Review of Case Reports

Sierra¹,

Romo²,

Ortiz-Oshiro

et al. 2010

Urol Int

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Introduction: We report one case of robot-assisted transperitoneal bladder diverticulectomy and perform a systematic review of published experience. Patient and Methods: Our patient was a 64-year-old male with a history of lower urinary tract symptoms secondary to benign prostatic enlargement for 6 years with recurrent urinary tract infection. Ultrasound and voiding cystourethrogram showed a 7-cm diverticulum in the posterior bladder wall. After bibliographic search in PubMed/Medline, 17 articles on laparoscopic diverticulectomy and 8 on robotic diverticulectomy were selected. Results: Transperitoneal robot-assisted diverticulectomy was performed with the Da Vinci 4-arm system (Intuitive Surgical Inc., Sunnyvale, Calif., USA) without perioperative complications. Operative time was 80 min and blood loss less than 100 ml. Transurethral prostatic resection combined with Greenlight laser vaporization was performed in a second step. Conclusions: Robot-assisted bladder diverticulectomy is safe, effective, reproducible and minimally invasive. Cost is higher than for laparoscopic surgery and access to this technology is limited.

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“…[54,55] The current literature has several small robot-assisted laparoscopic diverticulectomy series in adults. [56] Pediatric reports are scarce, with the only published robotic bladder diverticulum repair coming from Meeks et al in 2009.…”

Section: Surgical Techniquementioning

confidence: 99%

Robotic-assisted laparoscopic surgery in pediatric urology: an update

Kojima¹,

Khurgin²,

Casale³

2012

Turkish Journal of Urology

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Laparoscopic procedures for urological diseases in children, such as nephrectomy, pyeloplasty and orchiopexy, have proven to be safe and effective with outcomes comparable to open procedures. The main drawback has been the relatively steep learning curve for this procedure that is associated with technical difficulties such as suturing and anastomosis. More recently, robotic-assisted laparoscopic surgery (RAS) has gained enormous popularity in adult urology and is increasingly being adopted around the world; however, few pediatric urology series have been reported. RAS has several advantages over conventional laparoscopic surgery, mainly the simplification and precision of exposure and suturing. The robotic arms move in real time with an increased degree of freedom and a magnified, 3-dimensional view. These features render RAS ideal for complex reconstructive surgery in a pediatric urological population. This review discusses the role of RAS in pediatric urology, provides technical aspects of RAS and offers a critical summary of current knowledge on its indications and outcomes. Almost all operations that are classically performed as open or conventional laparoscopic reconstructive surgeries for children with urological anomalies could be replaced by RAS and this procedure may be established as an alternative minimally invasive surgery in the future.Key words: Laparoscopy; minimally invasive surgery; pediatrics; robotics; urinary tract reconstruction; urology. ÖZETÇocuklarda nefrektomi, piyeloplasti ve orşiopeksi gibi ürolojik hastalıklar için laparoskopik prosedürlerin, açık prosedürlerle kıyaslanabilir sonuçlar ile birlikte, güvenli ve etkili olduğu kanıtlanmıştır. Bu prosedür-lerin, sütür atma ve anastamoz gibi teknik zorluklarla ilişkili göreceli dik öğrenme eğrisi olması başlıca dezavantaj olmaktadır. Son zamanlarda, robot yardımlı laparoskopik cerrahi (RAS) erişkin ürolojisinde olağanüstü bir popülerlik kazanmıştır ve bütün dünyada giderek artan bir şekilde kabul görmektedir; buna karşın, bir kaç pediatrik üroloji serisi yayınlanmıştır. RAS konvansiyonel laparoskopik cerrahiye kıyasla bir kaç avantaja sahiptir; bunların başlıcaları pozlama ve sütur atmanın kolaylığı ve hassasiyetidir. Robot kollar artmış bir serbestlik derecesinde ve büyütülmüş 3 boyutlu bir bakış açısıyla gerçek zamanlı olarak hareket etmektedir. Bu özellikler RAS'ı pediatrik ürolojik populasyonda kompleks rekonstrüktif cerrahi için ideal yapmaktadır. Bu derleme pediatrik ürolojide RAS'ın rolünü tartışmakta, RAS'ın teknik yönlerini bildirmekte ve endikasyonları ve sonuçları hakkında güncel bilgilerin eleştirel bir özetini sunmaktadır. Ürolojik anomalisi olan çocuklar için açık veya konvansiyonel laparoskopik rekonstrüktif cerrahi şeklinde klasik olarak yapılan hemen hemen tüm operasyonların yerine RAS yapılabilir ve bu prosedür gelecekte alternatif bir minimal invaziv cerrahi olarak yerleşebilir.

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Laparoscopic Diverticulectomy: Preliminary Report of a New Approach for the Treatment of Bladder Diverticulum

Cited by 86 publications

References 16 publications

Un diverticule géant para urétéral chez l’enfant révélé par une masse pelvienne

Un diverticule géant para urétéral chez l’enfant révélé par une masse pelvienne

Bladder Diverticulum Robotic Surgery: Systematic Review of Case Reports

Robotic-assisted laparoscopic surgery in pediatric urology: an update

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