BACKGROUND: The aim of this report is to describe our surgical technique for robot-assisted laparoscopic bladder diverticulectomy.
In this technique, methylene blue is instilled into the bladder to aid in intra-abdominal identification of the diverticular neck.
SUBJECTS AND METHODS: We retrospectively reviewed the records of patients who underwent robot-assisted bladder diverticulectomy by a single surgeon.
RESULTS: Between September 2008 and January 2011, 5 patients successfully underwent robot-assisted laparoscopic bladder diverticulectomy using 1% intravesical methylene blue. All cases were completed without intraoperative complication or need for open conversion. Mean operative time was 216 minutes, with a mean estimated blood loss of 45 mL. Patients were discharged 1-2 days following surgery. No patient experienced a perioperative complication.
CONCLUSIONS: The robot-assisted approach for bladder diverticulectomy is a viable alternative to both open and laparoscopic surgery. The use of intravesical methylene blue greatly aids in identification of the diverticular neck during this procedure.
Written by:
Moore CR, Shirodkar SP, Avallone MA, Castle SM, Gorin MA, Gorbatiy V, Leveillee RJ. Are you the author?
Division of Endourology, Department of Urology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
Reference: J Laparoendosc Adv Surg Tech A. 2012 Jun;22(5):492-5.
doi: 10.1089/lap.2011.0405
PubMed Abstract
PMID: 22670639
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