Robot-assisted bladder diverticulum removal in a 10-year-old child
- Authors: Kozlov Y.A.1,2,3, Poloyan S.S.1,3, Sapukhin E.V.1, Strashinsky A.S.1, Makarochkina M.V.1, Marchuk A.A.1, Rozhansky A.P.3, Byrgazov A.A.1, Muravyov S.A.3, Narkevich A.N.4,5
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Affiliations:
- Irkutsk State Regional Children’s Clinical Hospital
- Irkutsk State Medical Academy of Postgraduate Education
- Irkutsk State Medical University
- South Ural State Medical University
- Voino-Yasenetsky Krasnoyarsk State Medical University
- Issue: Vol 27, No 6 (2023)
- Pages: 431-438
- Section: CLINICAL OBSERVATIONS
- Submitted: 16.04.2023
- Accepted: 04.12.2023
- Published: 26.12.2023
- URL: https://jps-nmp.ru/jour/article/view/661
- DOI: https://doi.org/10.17816/ps661
- ID: 661
Cite item
Abstract
BACKGROUND: Bladder diverticulum are hernias of the bladder mucosa that prolapse through a detrusor defect. Diverticulectomy is the treatment of choice for this disease. Surgical methods to implement this principle include open, laparoscopic and robotic approaches. In the present study, we outline our own technique for performing robotic diverticulectomy and report its short-term results.
CLINICAL CASE DESCRIPTION: The study reports one case of bladder diverticulectomy performed with a robot-assisted technique in a 10-year-old boy. The diagnosis of the disease was established using voiding cystourethrography, cystoscopy and X-ray computed urography. The patient had robot-assisted bladder diverticulectomy using transperitoneal extravesical access. At the final stage of the study, short-term outcomes of the robot-assisted procedure were evaluated. The duration of the operation was 100 minutes. No intraoperative and postoperative complications were observed. The urinary catheter was removed the day after the operation. The duration of the patient's stay in the hospital was 7 days. Histological examination showed signs corresponding to a false diverticulum of the bladder with the presence of single muscle fibers in its structure. The ureteral stent was removed one month after the operation. After removal of the stent, control voiding cystography was performed, which demonstrated the absence of bladder contour deformation at the site of surgical procedure.
CONCLUSION: Robot-assisted bladder diverticulectomy is a technically feasible approach to the treatment of congenital bladder diverticulum.
Keywords
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About the authors
Yuri A. Kozlov
Irkutsk State Regional Children’s Clinical Hospital; Irkutsk State Medical Academy of Postgraduate Education; Irkutsk State Medical University
Author for correspondence.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
SPIN-code: 3682-0832
MD, Dr. Sci. (Medicine), Corresponding Member of the Russian Academy of Sciences
Россия, Irkutsk; Irkutsk; IrkutskSimon S. Poloyan
Irkutsk State Regional Children’s Clinical Hospital; Irkutsk State Medical University
Email: simonpoloyan@ya.ru
ORCID iD: 0000-0001-7042-6646
Assistant Lecturer
Россия, Irkutsk; IrkutskEduard V. Sapukhin
Irkutsk State Regional Children’s Clinical Hospital
Email: sapukhin@yandex.ru
ORCID iD: 0000-0001-5470-7384
MD, Cand. Sci. (Medicine)
Россия, IrkutskAlexey S. Strashinsky
Irkutsk State Regional Children’s Clinical Hospital
Email: strashinskias@gmail.com
ORCID iD: 0000-0002-1911-4468
Россия, Irkutsk
Marina V. Makarochkina
Irkutsk State Regional Children’s Clinical Hospital
Email: m.makarochkina@gmail.com
ORCID iD: 0000-0001-8295-6687
SPIN-code: 4600-4071
Россия, Irkutsk
Andrey A. Marchuk
Irkutsk State Regional Children’s Clinical Hospital
Email: maa-ped20@yandex.ru
ORCID iD: 0000-0001-9767-0454
Россия, Irkutsk
Alexander P. Rozhansky
Irkutsk State Medical University
Email: alexanderozhanski@mail.ru
ORCID iD: 0000-0001-7922-7600
SPIN-code: 4012-7120
Россия, Irkutsk
Anton A. Byrgazov
Irkutsk State Regional Children’s Clinical Hospital
Email: byrgazov.ant-doc38@yandex.ru
ORCID iD: 0000-0002-9195-5480
Россия, Irkutsk
Sergey A. Muravyov
Irkutsk State Medical University
Email: muravev1999sergey@mail.ru
ORCID iD: 0000-0003-4731-7526
student
Россия, IrkutskArtem N. Narkevich
South Ural State Medical University; Voino-Yasenetsky Krasnoyarsk State Medical University
Email: narkevichart@gmail.com
ORCID iD: 0000-0002-1489-5058
SPIN-code: 9030-1493
MD, Dr. Sci. (Medicine), Assistant Professor
Россия, Chelyabinsk; KrasnoyarskReferences
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