Moreno Sierra Jesus, Galante-Romo Isabel, Ortiz-Oshiro Elena, Castillon-Vela Ignacio T, Fernandez-Perez Cristina, Silmi-Moyano Angel
Department of Urology, Hospital Clínico San Carlos, Madrid, Spain.
Urol Int. 2010;85(4):381-5. doi: 10.1159/000319421. Epub 2010 Sep 1.
We report one case of robot-assisted transperitoneal bladder diverticulectomy and perform a systematic review of published experience.
Our patient was a 64-year-old male with a history of lower urinary tract symptoms secondary to benign prostatic enlargement for 6 years with recurrent urinary tract infection. Ultrasound and voiding cystourethrogram showed a 7-cm diverticulum in the posterior bladder wall. After bibliographic search in PubMed/Medline, 17 articles on laparoscopic diverticulectomy and 8 on robotic diverticulectomy were selected.
Transperitoneal robot-assisted diverticulectomy was performed with the Da Vinci 4-arm system (Intuitive Surgical Inc., Sunnyvale, Calif., USA) without perioperative complications. Operative time was 80 min and blood loss less than 100 ml. Transurethral prostatic resection combined with Greenlight laser vaporization was performed in a second step.
Robot-assisted bladder diverticulectomy is safe, effective, reproducible and minimally invasive. Cost is higher than for laparoscopic surgery and access to this technology is limited.
我们报告一例机器人辅助经腹膀胱憩室切除术，并对已发表的经验进行系统回顾。
我们的患者是一名64岁男性，有因良性前列腺增生继发下尿路症状6年且反复尿路感染的病史。超声和排尿性膀胱尿道造影显示膀胱后壁有一个7厘米的憩室。在PubMed/Medline上进行文献检索后，选择了17篇关于腹腔镜憩室切除术的文章和8篇关于机器人憩室切除术的文章。
使用达芬奇四臂系统（美国加利福尼亚州森尼韦尔市直观外科公司）进行经腹机器人辅助憩室切除术，无围手术期并发症。手术时间为80分钟，失血少于100毫升。第二步进行经尿道前列腺切除术联合绿激光汽化术。
机器人辅助膀胱憩室切除术安全、有效、可重复且微创。成本高于腹腔镜手术，且获得该技术的途径有限。
