Abstract
Bladder diverticula are an uncommon problem in children and adults. They may be congenital or acquired in cases of bladder outlet obstruction. Classically, if removal is indicated they are excised in an open fashion. The laparoscopic approach has been described recently and is well accepted. The use of the da Vinci robot has several advantages over pure laparoscopy in performing a diverticulectomy. Articulation of robotic instruments aids in the dissection of the bladder and diverticulum. The 3D visualization allows for better visualization of the diverticulum and surrounding structures, allowing safe dissection from the nearby vas deferens and/or ureter. The dexterity and range of motion of the robotic instruments significantly increase the ease and precision of intracorporeal suturing required for closure of the bladder, which is particularly important when suturing deep within the pelvis. The robotic approach to excision of bladder diverticulum is described in this chapter.
Original language | English (US) |
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Title of host publication | Pediatric Robotic and Reconstructive Urology |
Subtitle of host publication | A Comprehensive Guide |
Publisher | Wiley-Blackwell |
Pages | 193-198 |
Number of pages | 6 |
ISBN (Print) | 9781444335538 |
DOIs | |
State | Published - Feb 3 2012 |
Keywords
- Bladder diverticulum
- Laparoscopy
- Robotic surgery
ASJC Scopus subject areas
- General Medicine