Robot-assisted laparoscopic transvesical diverticulectomy and simple prostatectomy

Magera, James S.; Childs, M. Adam; Frank, Igor

doi:10.1007/s11701-008-0100-z

Cited by 15 publications

(6 citation statements)

References 15 publications

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“…Anyway, they do not specify. The works by Mmeje et al [10], Magera et al [11] and ours describe a diverticulum secondary to lower urinary tract obstruction. In this review we exclude congenital diverticula.…”

Section: Discussionsupporting

confidence: 48%

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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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Section: Discussionsupporting

confidence: 48%

“…Some authors use the Veress needle to start pneumoperitoneum [7,11], but our group uses the open Hasson's technique. This mainly depends on surgical team preferences.…”

Section: Discussionmentioning

confidence: 99%

Bladder Diverticulum Robotic Surgery: Systematic Review of Case Reports

Sierra¹,

Romo²,

Ortiz-Oshiro

et al. 2010

Urol Int

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“…These authors claimed that postoperative continuous bladder irrigation would damage bladder sutures. In 2008, Magera et al [10] performed simple prostatectomy with robot assisted diverticulectomy having postoperative two days hospital stay and fourteen days catheterization time. Tufek et al [11] in 2016, studied 9 patients undergoing surgery, combination of TURP and photo selective vaporization of prostate for bladder outlet obstruction with robot assisted diverticulectomy.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of bladder diverticulum with radical prostatectomy. A case report and literature review

Salman

Fazlıoğlu²,

Kurtuluş

et al. 2018

Archives of Clinical and Experimental Medicine

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Atıf yazım şekli: How to cite: Salman MY, Fazlıoğlu A, Kurtuluş FO, Ünlüer SE. Surgical treatment of bladder diverticulum with radical prostatectomy. A case report and literature review. Arch Clin Exp Med. 2018;3(3):207-209. AbstractBladder diverticulum is an important health problem and can cause urinary system dysfunctions and recurrent urinary infections in patients as complications of incomplete bladder emptying. Diverticulas are often accompanied by bladder outlet obstructions and are less likely to be seen with the prostate cancer. This rare condition necessitates advanced surgical planning.In this report, we wanted to show that radical prostatectomy can be successfully performed with diverticulectomy. ÖzMesane divertikülleri önemli bir sorun olup, idrarın tam boşalmaması nedeniyle üriner sistem işlev bozukluklarına ve tekrar eden üriner enfeksiyonlara neden olabilir. Divertiküllere çoğu zaman mesane çıkım obstruksiyonları eşlik etmekte olup, prostat kanseri ile birlikte görülme ihtimali daha düşüktür. Nadir olan bu durum önemli bir cerrahi planlama gerektirir. Sunduğumuz bu vakada, divertikülektomi ile birlikte radikal prostatektominin başarılı bir şekilde uygulanabileceğini göstermek istedik.

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“…Over the past decade, the da Vinci system (Intuitive Surgical, Sunnyvale, CA, USA) has allowed surgeons to perform robot-assisted laparoscopic (RAL) procedures with greatly improved surgeon dexterity, surgical precision, visualization, and ergonomics and has allowed a minimally invasive option for many reconstructive procedures in children. Robot-assisted laparoscopic bladder diverticulectomy in children has also been increasingly reported in recent years [26][27][28][29][30][31][32][33][34][35][36][37][38][39], including our surgical technique that was previously reported [40•]. The preoperative preparation and patient positioning for laparoscopic/robotic bladder diverticulectomy are similar to other pelvic procedures such as ureteral reimplantation [41].…”

Section: Robot-assisted Laparoscopic Surgerymentioning

confidence: 99%

Management of Bladder Diverticula in the Pediatric Population

Baek

Sılay

Koh

2016

Curr Bladder Dysfunct Rep

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Bladder diverticula represent protrusion of the urothelial mucosa through the bladder muscular layers and may be either congenital or acquired. Congenital bladder diverticula are usually located adjacent to the ureteral orifices and often are associated with vesicoureteral reflux. Acquired bladder diverticula are usually multiple in nature and are secondary to bladder outlet obstruction or neurogenic bladder. When bladder diverticula are small and do not cause symptoms, non-surgical observation is an acceptable management strategy. The absolute need for surgical intervention of bladder diverticula remains a controversial topic, where current surgical indications for bladder diverticula include diverticula larger than 3 cm, recurrent urinary tract infections, associated severe vesicoureteral reflux, voiding dysfunction, urinary retention, bladder stones, and lower urinary tract symptoms that are persistent after conservative treatment. Open surgical repair has traditionally been the primary treatment choice for bladder diverticula. However, recent advancements in laparoscopic and robotic technology have led to minimally invasive surgical treatment options as alternatives to open surgery with similar success rates, but with reduced morbidity, decreased hospital stay lengths, reduced pain medication requirements, and improved cosmesis.

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Robot-assisted laparoscopic transvesical diverticulectomy and simple prostatectomy

Cited by 15 publications

References 15 publications

Bladder Diverticulum Robotic Surgery: Systematic Review of Case Reports

Bladder Diverticulum Robotic Surgery: Systematic Review of Case Reports

Surgical treatment of bladder diverticulum with radical prostatectomy. A case report and literature review

Management of Bladder Diverticula in the Pediatric Population

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