Robot-assisted partial cystectomy for bladder endometriosis

In: Journal of Robotic Surgery · 2014 · vol. 8(4) , pp. 393–396 · doi:10.1007/s11701-014-0474-z · W2045875888
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This paper details a robot-assisted partial cystectomy performed for bladder endometriosis, utilizing cystoscopy for precise nodule resection.

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This paper reports a case in which robot-assisted partial cystectomy was used to remove a bladder endometriosis nodule, combining laparoscopic robotic resection with cystoscopic visualization of the lesion inside the bladder. The authors describe the operative approach in narrative form and provide an electronic video fragment showing the robot procedure and concurrent cystoscopic view to enable precise en bloc removal. The key reported outcome is the ability to resect the nodule “in toto” under cystoscopic guidance, while a stated limitation is that this is a case report, without broader comparative data. This paper is centrally about endometriosis — it documents robot-assisted partial cystectomy for bladder endometriosis.

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References Giudice LC (2010) Clinical practice endometriosis. N Engl J Med 362:2389–2398. doi:10.1056/NEJMcp1000274 Berkley KJ, Rapkin AJ, Papka RE (2005) The pains of endometriosis. Science 308:1587–1589 Bulun SE (2009) Endometriosis. N Engl J Med 360:268–279 Tokushige N, Markham R, Russell P, Fraser IS (2006) Nerve fibres in peritoneal endometriosis. Hum Reprod 21:3001–3007 Maccagnano C, Pellucchi F, Rocchini L, Ghezzi M, Scattoni V, Montorsi F, Rigatti P, Colombo R (2012) Diagnosis and treatment of bladder endometriosis: state of the art. Urol Int 89:249–258. doi:10.1159/000339519 Comiter CV (2002) Endometriosis of the urinary tract. Urol Clin North Am 29:625–635 Koninck PR, Martin DC (1995) Surgical treatment of deeply infiltrating endometriosis. In: Shaw RX (ed) Endometriosis: current understanding and management. Blackwell, Oxford, pp 264–281 Seracchioli R, Mannini D, Colombo FM, Vianello F, Reggiani A, Venturoli S (2002) Cystoscopy-assisted laparoscopic resection of extramucosal bladder endometriosis. J Endourol 16:663–666 Chammas MF Jr, Kim FJ, Barbarino A, Hubert N, Feuillu B, Coissard A, Hubert J (2008) Asymptomatic rectal and bladder endometriosis: a case for robotic-assisted surgery. Can J Urol 15:4097–4100 Liu C, Perisic D, Samadi D, Nezhat F (2008) Robotic-assisted laparoscopic partial bladder resection for the treatment of infiltrating endometriosis. J Minim Invasive Gynecol 15:745–748 Nezhat C, Hajhosseini B, King LP (2011) Robotic-assisted laparoscopic treatment of bowel, bladder, and ureteral endometriosis. JSLS 15:387–392 Siesto G, Ieda N, Rosati R, Vitobello D. Robotic surgery for deep endometriosis: a paradigm shift. Int J Med Robot. 13. doi:10.1002/rcs.1518. (Epub ahead of print) Conflict of interest Authors Nap, Wijnberger and Wijburg declare that they have no conflicts of interest (both personal and institutional) regarding specific financial interests that are relevant to the work conducted or reported in this manuscript. Consent section Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Author information Authors and Affiliations Corresponding author Electronic supplementary material Below is the link to the electronic supplementary material. Videofragment: In this fragment, part of the robot procedure is shown in the upper part. In the lower part the cystoscopic view is presented. The nodus is removed in toto from outside of the bladder, under cystoscopic view of the inside of the bladder, enabling the surgeon to resect the nodus as precise as possible. (MP4 83495 kb) Rights and permissions About this article Cite this article Nap, A.W., Wijnberger, L. & Wijburg, C. Robot-assisted partial cystectomy for bladder endometriosis. J Robotic Surg 8, 393–396 (2014). https://doi.org/10.1007/s11701-014-0474-z Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s11701-014-0474-z

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