title: Bladder diverticulum robotic surgery: systematic review of case reports.
abstract: BACKGROUND
  We report one case of robot-assisted transperitoneal bladder diverticulectomy and perform a systematic review of published experience.
  
  
  METHODS
  Our patient was a 64-year-old male with a history of lower urinary tract symptoms secondary to benign prostatic enlargement for 6 years with recurrent urinary tract infection. Ultrasound and voiding cystourethrogram showed a 7-cm diverticulum in the posterior bladder wall. After bibliographic search in PubMed/Medline, 17 articles on laparoscopic diverticulectomy and 8 on robotic diverticulectomy were selected.
  
  
  RESULTS
  Transperitoneal robot-assisted diverticulectomy was performed with the Da Vinci 4-arm system (Intuitive Surgical Inc., Sunnyvale, Calif., USA) without perioperative complications. Operative time was 80 min and blood loss less than 100 ml. Transurethral prostatic resection combined with Greenlight laser vaporization was performed in a second step.
  
  
  CONCLUSIONS
  Robot-assisted bladder diverticulectomy is safe, effective, reproducible and minimally invasive. Cost is higher than for laparoscopic surgery and access to this technology is limited.
authors.affiliation: Department of Urology, Hospital Clínico San Carlos, Madrid, Spain. dr_jmoreno@hotmail.com
authors.forename: Jesus
authors.initials: J
authors.lastname: Moreno Sierra
authors.forename: Isabel
authors.initials: I
authors.lastname: Galante-Romo
authors.forename: Elena
authors.initials: E
authors.lastname: Ortiz-Oshiro
authors.forename: Ignacio T
authors.initials: IT
authors.lastname: Castillon-Vela
authors.forename: Cristina
authors.initials: C
authors.lastname: Fernandez-Perez
authors.forename: Angel
authors.initials: A
authors.lastname: Silmi-Moyano
mesh_terms: D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012371:Robotics; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013520:Urologic Surgical Procedures