The use of robotically assisted surgery for treating urachal anomalies.

Abstract:

OBJECTIVE:To report the management of urachal anomalies using a robotically assisted approach. PATIENTS AND METHODS:Between January 2005 and February 2006, five patients (mean age 51 years, range 24-68) were diagnosed with urachal anomalies. Two basic robot-assisted surgical approaches were used for excising the urachal anomalies: excision of the urachal remnant via partial cystectomy, and radical cystectomy for excision of urachal adenocarcinoma. RESULTS:All five cases were successful and the excised specimens were assessed histologically. The short-term oncological outcome in the three patients with histologically confirmed moderately differentiated adenocarcinoma showed no evidence of recurrent disease within a median interval of 8 months. Surveillance follow-up cystoscopy in the patients who had a partial cystectomy showed a well-healed bladder mucosa with no evidence of recurrence. CONCLUSIONS:Radical excision of the urachal tract with partial cystectomy or radical cystectomy using the da Vinci robot is safe, effective and technically feasible.

journal_name

BJU Int

journal_title

BJU international

authors

Madeb R,Knopf JK,Nicholson C,Donahue LA,Adcock B,Dever D,Tan BJ,Valvo JR,Eichel L

doi

10.1111/j.1464-410X.2006.06430.x

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

838-42

issue

4

eissn

1464-4096

issn

1464-410X

pii

BJU6430

journal_volume

98

pub_type

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