Robot-assisted laparoscopic transvesical diverticulectomy and simple prostatectomy

被引:8
作者
Magera J.S. [1 ]
Jr. [1 ]
Adam Childs M. [1 ]
Frank I. [1 ]
机构
[1] Department of Urology, Mayo Clinic, Rochester, MN 55905
关键词
Benign prostatic hyperplasia; Bladder diverticulectomy; Bladder diverticulum; Laparoscopy; Robot;
D O I
10.1007/s11701-008-0100-z
中图分类号
学科分类号
摘要
Acquired bladder diverticula are often associated with bladder outlet obstruction (BOO). The increased voiding pressures required to overcome the BOO attenuate the detrusor and promote formation of diverticula. These patients may develop urinary tract infections, bladder stones, and incomplete bladder emptying. Effective treatment must address both the bladder diverticula and BOO. Reports of laparoscopic bladder diverticulectomy with concurrent transurethral resection of the prostate have demonstrated the feasibility of this minimally invasive approach. However, due to longer operative times and technical difficulty of the procedure, the gold-standard treatment remains the open surgical approach of bladder diverticulectomy and transvesical prostatectomy. With the advent of robotic-assisted laparoscopic surgery, application of open surgical principles is increasingly translated to the minimally invasive laparoscopic approach. We report, to our knowledge, the first case of robot-assisted laparoscopic transvesical diverticulectomy and concurrent transvesical simple prostatectomy. © 2008 Springer-Verlag London Ltd.
引用
收藏
页码:205 / 208
页数:3
相关论文
共 14 条
[1]  
Misop H., Partin A.W., Wein A.J., Retropubic and suprapubic open prostatectomy, Campbell-Walsh Urology, 9th Edn, (2007)
[2]  
Faramarzi-Roques R., Calvet C., Gateau T., Et al., Surgical treatment of bladder diverticula: Laparoscopic approach, J Endourol, 18, (2004)
[3]  
Myer E.G., Wagner J.R., Robotic assisted laparoscopic bladder diverticulectomy, J Urol, 178, (2007)
[4]  
Porpiglia F., Tarabuzzi R., Cossu M., Et al., Is laparoscopic bladder diverticulectomy after transurethral resection of the prostate safe and effective? Comparison with open surgery, J Endourol, 18, (2004)
[5]  
Pansadoro V., Emiliozzi P., Federico G., Al E., Transvesical laparoscopic diverticulectomy, J Urol, 175, (2006)
[6]  
Hoepffner J.L., Gaston R., Piechaud T., Et al., Finger assisted laparoscopic retropubic prostatectomy (Millin), Eur Urol Suppl, 5, (2006)
[7]  
Mariano M.B., Tefilli M.V., Graziottin T.M., Et al., Laparoscopic prostatectomy for benign prostatic hyperplasia-a six-year experience, Eur Urol, 49, (2006)
[8]  
Badani K.K., Kaul S., Menon M., Evolution of robotic radical prostatectomy: Assessment after 2766 procedures, Cancer, 110, (2007)
[9]  
Menon M., Shrivastava A., Kaul S., Et al., Vattikuti Institute prostatectomy: Contemporary technique and analysis of results, Eur Urol, 51, (2007)
[10]  
Gettman M.T., Blute M.L., Critical comparison of laparoscopic, robotic, and open radical prostatectomy: Techniques, outcomes, and cost, Curr Urol Rep, 7, (2006)