Robot-assisted laparoscopic partial cystectomy and diverticulectomy: initial experience of four cases.
OBJECTIVE
We report our initial experience with four cases of robot-assisted laparoscopic partial cystectomy and diverticulectomy performed between June 2005 and August 2007.


METHODS
The series consisted of three male patients and one female with a mean age of 64 years (range 36-77 years). In each case, a transperitoneal laparoscopic approach was used to mobilize the bladder. Next the bladder lesion was scored circumferentially cystoscopically with a Collings knife. The remainder of the excision and bladder reconstruction was performed with the da Vinci robot.


RESULTS
Mean operative time was 194 minutes with a mean blood loss of 35 mL. The urethral catheter was removed between 5 and 14 days following a normal cystogram. There were no significant complications. Postoperative hospital stay was 2 to 3 days.


CONCLUSIONS
Robot-assisted laparoscopic partial cystectomy and diverticulectomy are technically feasible and represent an alternative to open and conventional laparoscopic approaches.
Tareen
Basir U
BU
Urologic Oncology Program, Department of Urology, New York University Medical Center, New York, New York 10016, USA.
Mufarrij
Patrick W
PW
Godoy
Guilherme
G
Stifelman
Michael D
MD
D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000379:methods*; D004240:Diverticulum / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012371:Robotics / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery