Taniguchi Hisanori, Kiyota Sho, Ikeda Junichi, Kinoshita Hidefumi
Department of Urology and Andrology, Kansai Medical University, Hirakata, JPN.
Cureus. 2025 Jun 24;17(6):e86685. doi: 10.7759/cureus.86685. eCollection 2025 Jun.
In this report, to the best of our knowledge, we present the first case of genital-sparing robot-assisted radical cystectomy (RARC) using the hinotori™ Surgical Robot System (Medicaroid Corporation, Kobe, Japan) in a 78-year-old woman with muscle-invasive bladder cancer and a history of total hysterectomy. An anterior vaginal wall-sparing cystectomy and intracorporeal ileal conduit reconstruction were completed without complications. The postoperative course was uneventful, and pathological analysis revealed pT0N0M0. This case demonstrates the feasibility and safety of genital-sparing RARC with the hinotori system and highlights its potential role in preventing postoperative pelvic organ prolapse in selected female patients.
在本报告中，据我们所知，我们展示了首例使用hinotori™手术机器人系统（日本神户的Medicaroid公司）对一名78岁患有肌层浸润性膀胱癌且有全子宫切除术史的女性进行保留生殖器的机器人辅助根治性膀胱切除术（RARC）的病例。完成了保留阴道前壁的膀胱切除术和体内回肠代膀胱重建，无并发症发生。术后过程顺利，病理分析显示为pT0N0M0。该病例证明了使用hinotori系统进行保留生殖器的RARC的可行性和安全性，并突出了其在预防特定女性患者术后盆腔器官脱垂方面的潜在作用。
