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 Intjournal_title
BJU internationalauthors
Madeb R,Knopf JK,Nicholson C,Donahue LA,Adcock B,Dever D,Tan BJ,Valvo JR,Eichel Ldoi
10.1111/j.1464-410X.2006.06430.xsubject
Has Abstractpub_date
2006-10-01 00:00:00pages
838-42issue
4eissn
1464-4096issn
1464-410Xpii
BJU6430journal_volume
98pub_type
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更新日期:2002-02-01 00:00:00
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更新日期:2008-06-01 00:00:00
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更新日期:2007-02-01 00:00:00