title: The use of robotically assisted surgery for treating urachal anomalies.
abstract: OBJECTIVE
  To report the management of urachal anomalies using a robotically assisted approach.
  
  
  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.
authors.affiliation: Department of Urology, Rochester General Hospital, Rochester, New York, USA. ralph_madeb@urmc.rochester.edu
authors.forename: Ralph
authors.initials: R
authors.lastname: Madeb
authors.forename: Joy K
authors.initials: JK
authors.lastname: Knopf
authors.forename: Craig
authors.initials: C
authors.lastname: Nicholson
authors.forename: Laurence A
authors.initials: LA
authors.lastname: Donahue
authors.forename: Brian
authors.initials: B
authors.lastname: Adcock
authors.forename: David
authors.initials: D
authors.lastname: Dever
authors.forename: Beng Jit
authors.initials: BJ
authors.lastname: Tan
authors.forename: John R
authors.initials: JR
authors.lastname: Valvo
authors.forename: Louis
authors.initials: L
authors.lastname: Eichel
mesh_terms: D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012371:Robotics; D016896:Treatment Outcome; D014496:Urachal Cyst / Q000473:pathology / Q000601:surgery*; D014497:Urachus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*