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Related Experiment Video

Updated: Jun 8, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Continuing robotically? The completion of a robot-assisted radical prostatectomy after laparotomy.

Jonathan S Brajtbord1, Hugh J Lavery, Brian P Jacob

  • 1Department of Urology, The Mount Sinai Medical Center, New York, New York 10022, USA.

Journal of Endourology
|September 23, 2010
PubMed
Summary

Managing difficult adhesions during laparoscopic surgery presents challenges. This case details repairing an enterotomy via laparotomy during robot-assisted radical prostatectomy, complicated by a rare Meckel

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic management of extensive adhesions is technically demanding for surgeons.
  • Robot-assisted radical prostatectomy (RARP) is a standard treatment for prostate cancer.
  • Intraoperative complications, such as enterotomy, can necessitate changes in surgical approach.

Observation:

  • A suspected enterotomy occurred during a RARP, necessitating a laparotomy for repair.
  • The surgical field was complicated by a rare fusion of a Meckel's diverticulum and a urachal cyst.
  • The Meckel's diverticulum–urachal complex was excised, and the laparotomy incision was closed.

Findings:

  • Successful repair of the enterotomy was achieved via laparotomy.
  • The complex anomaly (Meckel's diverticulum fused with urachal cyst) was successfully excised.

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Last Updated: Jun 8, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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  • The RARP was completed robotically after the laparotomy closure.

    • Implications:

    • This case highlights strategies for managing intraoperative enterotomy during RARP.
    • It addresses the surgical decision-making regarding proceeding with a robotic procedure after a laparotomy.
    • The successful management of a rare congenital anomaly during a major oncologic surgery is demonstrated.