Continuing robotically? The completion of a robot-assisted radical prostatectomy after laparotomy.
The laparoscopic management of difficult adhesions can be quite challenging for even the most experienced of laparoscopic surgeons. We describe a case of managing a suspected enterotomy with a laparotomy during a robot-assisted radical prostatectomy and the surgical options after repair. The case was complicated by a Meckel's diverticulum fused and continuous with a urachal cyst, itself a rare occurrence. After the excision of the Meckel's diverticulum–urachal complex, the laparotomy incision was closed, and the prostatectomy was performed robotically. We discuss the controversies regarding continuation of a planned robotic procedure after a midline laparotomy.
Brajtbord
Jonathan S
JS
Department of Urology, The Mount Sinai Medical Center, New York, New York 10022, USA.
Lavery
Hugh J
HJ
Jacob
Brian P
BP
Mccash
Samuel
S
Samadi
David B
DB
D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D012371:Robotics