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CASE REPORT article

Front. Surg.
Sec. Surgical Oncology
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1453883
This article is part of the Research Topic Robotic-assisted surgery of urologic cancers View all articles

Robot-Assisted Laparoscopic Bladder Diverticulectomy: A Case Series and Initial Experience

Provisionally accepted
Guangju Ge Guangju Ge 1Haihong Wang Haihong Wang 2Qiming Zheng Qiming Zheng 1Shuai Zhang Shuai Zhang 1Huan Wang Huan Wang 1Liang Ma Liang Ma 1*
  • 1 Department of Urology, Sir Run Run Shaw Hospital, Hangzhou, China
  • 2 Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Graduate School, Zhejiang University, Hangzhou, China

The final, formatted version of the article will be published soon.

    Objectives: To explore the experience of tumor control technique in robot-assisted laparoscopic bladder diverticulectomy (RALBD) in the treatment of bladder diverticulum tumor, intraoperative tumor control and postoperative comprehensive treatment. Patients and Methods: We treated three male patients with bladder diverticulum tumors. Case 1 involved a 63-year-old with a 3.0 cm tumor in the diverticulum on the right bladder wall. Case 2 involved a 70-year-old with a 1.0 cm cauliflower-like tumor in the diverticulum on the left bladder wall. Case 3 involved a 64-year-old with a 3.0 cm tumor in the diverticulum on the right bladder wall. Each patient underwent robot-assisted laparoscopic partial cystectomy (PC) with ureteral Double J (D-J) stent placement. To minimize the risk of intraoperative tumor spread, we implemented enhanced surgical techniques. Systemic chemotherapy and adjuvant intravesical chemotherapy were recommended to reduce the risk of tumor recurrence and metastasis. Results: Postoperative pathology confirmed papillary urothelial carcinoma in all three cases. Each patient was followed up for over 20 months, with no evidence of recurrence or distant metastasis observed through cystoscopy and chest and abdominal CT scans. Conclusion: For patients with urothelial carcinoma in a bladder diverticulum, robot-assisted laparoscopic bladder-sparing surgery is a viable option when appropriate cases are selected. Effective intraoperative tumor control and comprehensive postoperative treatment are crucial to minimizing recurrence and metastasis risks. The robotic approach offers enhanced precision and visualization compared to traditional open or laparoscopic techniques, potentially leading to improved outcomes regarding intraoperative tumor control and reduced postoperative complications. However，this study is limited by its small sample size of only three patients and short-term follow-up. A larger sample of patients is needed to confirm the advantages of the robotic approach.

    Keywords: Robot-assisted, Bladder, diverticulectomy, tumor, experience

    Received: 24 Jun 2024; Accepted: 17 Dec 2024.

    Copyright: © 2024 Ge, Wang, Zheng, Zhang, Wang and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Liang Ma, Department of Urology, Sir Run Run Shaw Hospital, Hangzhou, China

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