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Robotic-Assisted Bladder Diverticulectomy: Indications, Technique, and Outcomes-A Case Series
Damien Gibson1,2,3, Ramesh Shanmugasundaram2, George McClintock1,4
1Surgical Outcomes Research Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Journal of Endourology
|June 25, 2024
Summary
Robotic-assisted bladder diverticulectomy (RABD) is a safe and effective procedure for both benign and malignant bladder diverticula. This Australian case series shows good functional and oncological outcomes with minimal complications.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Bladder diverticulectomy is performed for benign and malignant conditions.
- Robotic-assisted bladder diverticulectomy (RABD) offers potential advantages in precision and visualization.
Observation:
- This case series analyzed outcomes from 28 RABD procedures performed by 13 Australian urologists between 2016 and 2023.
- The transperitoneal extravesical approach was predominantly used.
- Data included patient demographics, diverticulum characteristics, surgical techniques, and post-operative outcomes.
Findings:
- RABD demonstrated symptomatic resolution in benign cases and achieved clear margins in 90% of malignant cases.
- The average procedure time was 106 minutes with minimal blood loss and a short hospital stay (2.67 days).
- Early complication rate was 14%, mostly Clavien-Dindo grade II.
Implications:
- Robotic-assisted bladder diverticulectomy is a safe, effective, and reliable option for managing bladder diverticula, including those with malignancy.
- The consistent approach and positive outcomes support RABD as a valuable surgical intervention.
