Minimally invasive surgical approaches to retrovesical structures

Carlo Passerotti, Marc Cendron, Patricio Gargollo, David A. Diamond, Joseph G. Borer, Bartley Cilento, Stuart Bauers, Alan B. Retik, Craig A Peters, Hiep T. Nguyen

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: With open surgery, it is difficult to access structures posterior to the bladder. The advent of laparoscopy provides a more direct approach to these structures. In this study, we report on our experience in treating these structures using minimally invasive techniques. Methods: Between 1998 and 2006, 11 patients underwent conventional or robotic-assisted laparoscopic (RAL) surgeries to treat various anomalies posterior to the bladder; 5/11 procedures were performed with conventional laparoscopy and the others utilized robotic-assistance. Results: There were no complications. Average EBL was 49.1 ml. Mean operative time was 233.3 min. Median total i.v. analgesic use was 0.9 mg/kg MSO4. Median hospital stay was 2.0 days. Conclusions: Our study confirms the safety and feasibility of conventional and RAL surgery posterior to the urinary bladder. This minimally invasive procedure allows the retrovesical structures to be approach more directly, allows for excellent visualization of these structures and avoids the morbidity associated with open surgery.

Original languageEnglish (US)
Pages (from-to)307-311
Number of pages5
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume3
Issue number4
DOIs
StatePublished - Dec 1 2007

Keywords

  • Laparoscopy
  • Mullerian duct remnant
  • Paediatrics
  • Robotics
  • Wolffian duct remnant

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

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    Passerotti, C., Cendron, M., Gargollo, P., Diamond, D. A., Borer, J. G., Cilento, B., Bauers, S., Retik, A. B., Peters, C. A., & Nguyen, H. T. (2007). Minimally invasive surgical approaches to retrovesical structures. International Journal of Medical Robotics and Computer Assisted Surgery, 3(4), 307-311. https://doi.org/10.1002/rcs.164