Robot-assisted laparoscopic partial cystectomy and diverticulectomy: Initial experience of four cases

Document Type

Journal Article

Publication Date

7-1-2008

Journal

Journal of Endourology

Volume

22

Issue

7

DOI

10.1089/end.2007.0297

Abstract

Purpose: We report our initial experience with four cases of robot-assisted laparoscopic partial cystectomy and diverticulectomy performed between June 2005 and August 2007. Patients and Methods: The series consisted of three male patients and one female with a mean age of 64 years (range 36-77 years). In each case, a transperitoneal laparoscopic approach was used to mobilize the bladder. Next the bladder lesion was scored circumferentially cystoscopically with a Collings knife. The remainder of the excision and bladder reconstruction was performed with the da Vinci robot. Results: Mean operative time was 194 minutes with a mean blood loss of 35 mL. The urethral catheter was removed between 5 and 14 days following a normal cystogram. There were no significant complications. Postoperative hospital stay was 2 to 3 days. Conclusion: Robot-assisted laparoscopic partial cystectomy and diverticulectomy are technically feasible and represent an alternative to open and conventional laparoscopic approaches. © Mary Ann Liebert, Inc. 2008.

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