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Robotic Partial Cystectomy
Serge Ginzburg, MD, Joseph R. Wagner, MD.
Hartford Hospital, Hartford, CT, USA.

BACKGROUND: Depending on the location of the bladder pathology, partial cystectomy can require dissection and reconstruction in a confined space. 3 dimensional visualization and 7 degrees of instrument freedom in the da Vinci robotic surgical system have proven to be useful in performing a variety of urologic procedures. We present our experience performing robotic partial cystectomy.
METHODS: Between March, 2004 and March, 2010, 5 patients underwent robotic partial cystectomy for conditions including bladder cancer, endometriosis, and urachal cancer. Procedures were performed with either a 3 arm (Standard) or 4 arm (S, HD S, or Si) da Vinci surgical system.
RESULTS: Average robotic time was 110 minutes. Average OR time (cystoscopy when needed, trocar placement, robotic time, trocar removal and closure) was 173 minutes. All patients were discharged on hospital day #1 or #2. Foley catheters were left in place for 7-14 days and removed after a negative cystogram. There were no postoperative complications.
CONCLUSIONS: Robotic partial cystectomy can be effectively and safely performed for a variety of urologic conditions.


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