Editorial Comment: Laparoscopic Single Port Cystolithotomy Using Pneumovesicum

Hernandez, David J.

doi:10.1590/s1677-5538.ibju.2016.0337.1

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2021

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“…The superior visualization and maneuverability afforded to us with this technique were superior to other minimally invasive techniques. While endoscopic percutaneous and transurethral procedures are typically indicated for smaller bladder stones, open cystolithotomies are reserved for larger stones [ 9 ]. However, open cystolithotomies are also associated with longer recovery times, greater morbidity, and more rapid recurrence of bladder stones [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Robotic-Assisted Cystolithotomy in a Complicated Urinary Diversion: A Feasible and Safe Approach

Haffar

Crigger

Trump

et al. 2021

Case Reports in Urology

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Urinary diversion following radical cystectomy and neoadjuvant chemotherapy is the gold standard for the management of muscle-invasive bladder cancer. Urinary diversions are at an increased risk of urolithiasis as a result of various factors. Traditional surgical intervention has included open cystolithotomy which has given way to minimally invasive techniques as of late. We describe a case of a robotic-assisted cystolithotomy from a neobladder in a 54-year-old female patient with muscle-invasive bladder cancer. This is the first description of a robotic-assisted removal of a stone in an orthotopic neobladder. This approach has many advantages, especially in the removal of larger stones. Further study is needed to investigate the efficacy and success of this approach.

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Section: Discussionmentioning

confidence: 99%