中国的机器人外科学杂志 | ISSN 2096-7721 | CN 10-1650/R

经膀胱途径机器人辅助单孔腹腔镜膀胱憩室切除术一例报道

Single port robot-assisted laparoscopic transvesical resection of bladder diverticulum: a case report

作者:魏勇,汤井源,魏云飞,苏健,朱清毅

Vol. 3 No. 1 Feb. 2022 DOI: 10.12180/j.issn.2096-7721.2022.01.011 发布日期:2023-10-19
关键词:经膀胱途径;手术机器人;单孔腹腔镜手术;膀胱憩室

作者简介:

南京中医药大学附属医院 2020 年 12 月 7 日收治 1 例确诊为“膀胱憩室”的患者,于 2020 年 12 月 9 日在局部麻醉下行膀胱镜检查 + 膀胱造影术,镜下示膀胱右侧壁见一憩室,膀胱内注入造影剂,X 线片下见膀胱右侧壁憩室,大小约 7cm。明确手术指征,完善术前准备,排除手术禁忌证后,于 2020 年 12 月 11 日在全身麻醉下行“经膀胱途径机器人辅助单孔腹腔镜膀胱憩室切除术 + 腹腔镜下膀胱修补术”。患者总手术时间为 125min,机器人操作时间为 35min,备机时间为 15min,术中出血量为 30ml。术中未发生任何并发症,术后恢复良好,术后 6d 出院。结果表明,经膀胱途径机器人辅助单孔腹腔镜膀胱憩室切除术的手术效率更高,操作简便、精细,安全性高,疗效值得肯定。

One case of bladder diverticulum was diagnosed in the Affifiliated Hospital of Nanjing University of Chinese Medicine. The patient underwent cystoscopy and cystography under local anesthesia on December 9, 2020. Under the cystoscope, a diverticulum was seen on the right wall of bladder. The X-ray showed a 7cm about diverticulum on the right wall of bladder after injection of contrast agent into the bladder. After excluding contraindications, single port robotassisted laparoscopic transvesical resection of bladder diverticulum+laparoscopic bladder repair was performed under general anesthesia on December 11, 2020. The total operation time was 125 min, with 35 min of robotic operation time and 15 min of machine preparation time. The intraoperative blood loss was 30 ml. No complications were found during the operation. The patient recovered well after surgery and discharged 6 days after the operation. The results showed that single port robotassisted laparoscopic transvesical resection for bladder diverticulum is more efficient, safe, simple and precise, and the curative effect is positive.

稿件信息

收稿日期:2021-05-21  录用日期:2021-09-24 

Received Date: 2021-05-21  Accepted Date: 2021-09-24 

基金项目:国家自然科学基金面上项目(81772732) 

Foundation Item: General Program of National Natural Science Foundation of China (81772732) 

通讯作者:朱清毅,Email:drzhuqingy@126.com 

Corresponding Author: ZHU Qingyi,  Email:  drzhuqingy@126.com 

引用格式:魏勇,汤井源,魏云飞,等 . 经膀胱途径机器人辅助单孔腹腔镜膀胱憩室切除术一例报道 [J]. 机器人外科学杂志(中英文),2022,3(1):66-71. 

Citation: WEI Y, TANG J Y, WEI Y F, et al. Single port robot-assisted laparoscopic transvesical resection of bladder diverticulum: a case report [J]. Chinese Journal of Robotic Surgery, 2022, 3(1): 66-71.

参考文献

[1] Liu S, Pathak R A, Hemal A K. Robot-assisted laparoscopic bladder diverticulectomy: adaptation of techniques for a variety of clinical presentations[J]. Urology, 2021.DOI: 10.1016/j.urology.2020.07.044. 

[2] Vedovo F, de Concilio B, Zeccolini G, et al. New technologies for old procedures: when firefly improves robotic bladder diverticulectomy[J]. Int Braz J Urol, 2019, 45(5): 1080. 

[3] Yoshimura I, Uchida H, Nakayama A, et al. Robot-assisted bladder diverticulectomy sequentially followed by robot-assisted radical prostatectomy: a case series[J]. J Robot Surg, 2019, 13(2): 227-230. 

[4] Ragavan N, Bafna S, Thangarasu M, et al. Day-case robot-assisted laparoscopic surgery: feasibility and safety[J].Turk J Urol, 2021, 47(1): 30-34. 

[5] Koehne E, Desai S, Lindgren B. Robot-assisted laparoscopic diverticulectomy with ureteral reimplantation[J]. J Pediatr Urol, 2020, 16(4): 508-509.

[6] Gurung P M, Witthaus M, Campbell T, et al. Transvesical versus transabdominal-which is the best approach to bladder diverticulectomy using the single port robotic system?[J]. Urology, 2020.DOI: 10.1016/ j.urology.2020.05.018. 

[7] YANG C H, LIN Y S, OU Y C, et al. Adult metaplastic hutch diverticulum with robotic-assisted diverticulectomy and reconstruction: a case report[J]. World J Clin Cases, 2020, 8(20): 4895-4901.

[8] Ashton A, Soares R, Kusuma V R M, et al. Roboticassisted bladder diverticulectomy: point of technique to identify the diverticulum[J]. J Robot Surg, 2019, 13(1): 163-166.

[9] LI X Z, LIU T Y, WANG L. Diagnosis of bladder diverticulum: retrograde cystography CT more valuable[J]. J Xray Sci Technol, 2015, 23(4): 481-487. 

[10] Cacciamani G, De Luyk N, De Marco V, et al. Robotic bladder diverticulectomy: step-by-step extravesical posterior approach-technique and outcomes[J]. Scand J Urol, 2018, 52(4): 285-290.

[11] Cindolo L, Ingrosso M, Marchioni M, et al. Robotassisted laparoscopic bladder diverticulectomy and greenlight laser anatomic vaporization of the prostate[J]. Int Braz J Urol, 2018, 44(2): 403-404. 

[12] Dobbs R W, Halgrimson W R, Madueke I, et al. Singleport robot-assisted laparoscopic radical prostatectomy: initial experience and technique with the da Vinci® SP platform[J]. BJU Int, 2019 , 124(6): 1022-1027.

[13] Vigneswaran H T, Schwarzman L S, Francavilla S, et al. A comparison of perioperative outcomes between single-port and multiport robot-assisted laparoscopic prostatectomy[J]. Eur Urol, 2020, 77(6): 671-674.

[14] Huang M M, Patel H D, Wainger J J, et al. Comparison of perioperative and pathologic outcomes between single-port and standard robot-assisted radical prostatectomy: an analysis of a high-volume center and the pooled world experience[J]. Urology, 2021. DOI: 10.1016/j.urology.2020.08.046.

[15] Mota Filho F H A, Sávio L F, Sakata R E, et al. Robot-assisted single port radical nephrectomy and cholecystectomy: description and technical aspects[J]. Int Braz J Urol, 2018, 44(1): 202-203.

[16] Kaouk J, Valero R, Sawczyn G, et al. Extraperitoneal single-port robot-assisted radical prostatectomy: initial experience and description of technique[J]. BJU Int, 2020 , 125(1): 182-189.

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