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Case Report: Robot-assisted laparoscopic bladder diverticulectomy: a case series and initial experience
Guangju Ge1, Haihong Wang2, Qiming Zheng1
1Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in Surgery
|January 21, 2025
Summary
Robot-assisted surgery for bladder diverticulum tumors offers a viable bladder-sparing option. Careful intraoperative control and postoperative treatment are key to preventing recurrence and metastasis.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Bladder diverticulum tumors pose challenges for complete resection and recurrence prevention.
- Robot-assisted laparoscopic bladder diverticulectomy (RALBD) is explored as a minimally invasive approach.
Observation:
- Three male patients with bladder diverticulum tumors underwent robot-assisted laparoscopic partial cystectomy (PC).
- Enhanced surgical techniques were used for intraoperative tumor control.
- Patients received systemic and intravesical chemotherapy post-surgery.
Findings:
- Postoperative pathology confirmed papillary urothelial carcinoma in all cases.
- Follow-up exceeding 20 months showed no evidence of recurrence or metastasis.
- The robotic approach provided enhanced precision and visualization.
Implications:
- RALBD is a feasible option for selected bladder diverticulum urothelial carcinoma cases.
- Effective intraoperative tumor control and comprehensive adjuvant therapy are crucial.
- Larger studies are needed to confirm the long-term benefits of the robotic approach.
