Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy
Objective: The urachus is a remnant of the embryological allantois and usually regresses before birth. Persisting urachal abnormalities can lead to infection or even malignancy. Because malignant deterioration becomes more likely with age, resection is advised in adults. The spectrum of urachus neop...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Urology Video Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590089723000038 |
| _version_ | 1811160170432036864 |
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| author | Quinten Bogaerts Joren Vanthoor Hans Goethuys Yannic Raskin |
| author_facet | Quinten Bogaerts Joren Vanthoor Hans Goethuys Yannic Raskin |
| author_sort | Quinten Bogaerts |
| collection | DOAJ |
| description | Objective: The urachus is a remnant of the embryological allantois and usually regresses before birth. Persisting urachal abnormalities can lead to infection or even malignancy. Because malignant deterioration becomes more likely with age, resection is advised in adults. The spectrum of urachus neoplasms consists of benign to borderline benign mucinous cystic tumors, to low-grade malignant or malignant mucinous cystadenocarcinomata. There are several surgical procedures for dissection an urachus remnant. We performed a robot-assisted laparoscopic partial cystectomy with simultaneous cystoscopy for a lesion at the dome of the urinary bladder. Patient and surgical procedure: We present a case of a 59-year-old woman who was diagnosed with recurrent breast carcinoma. A staging PET-CT revealed a mass at the dome of the urinary bladder. We performed a robot-assisted laparoscopic partial cystectomy with cystoscopic guidance. The lesion was excised en-bloc with the median umbilical ligament. Results: The patient was discharged one day after surgery, there were no complications. The Foley bladder catheter was removed five days postoperatively, after cystography showed no extravasation. Histopathological diagnosis reported a rare mucinous cystic tumor of low malignant potential. The patient experienced no change in micturition six weeks after surgery. Discussion: A robot-assisted laparoscopy with cystoscopic assistance is a safe and feasible technique for a maximal bladder-sparing partial cystectomy. |
| first_indexed | 2024-04-10T05:53:04Z |
| format | Article |
| id | doaj.art-9423b5d86b734ec4a2c0b63c68a5e4b9 |
| institution | Directory Open Access Journal |
| issn | 2590-0897 |
| language | English |
| last_indexed | 2024-04-10T05:53:04Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Video Journal |
| spelling | doaj.art-9423b5d86b734ec4a2c0b63c68a5e4b92023-03-04T04:23:50ZengElsevierUrology Video Journal2590-08972023-03-0117100209Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomyQuinten Bogaerts0Joren Vanthoor1Hans Goethuys2Yannic Raskin3University of Antwerp, Faculty of Medicine and Health Sciences, Antwerp, Belgium; Department of Urology, Ziekenhuis Oost-Limburg, Genk, Belgium; Corresponding author.Department of Urology, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Urology, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Urology, Ziekenhuis Oost-Limburg, Genk, BelgiumObjective: The urachus is a remnant of the embryological allantois and usually regresses before birth. Persisting urachal abnormalities can lead to infection or even malignancy. Because malignant deterioration becomes more likely with age, resection is advised in adults. The spectrum of urachus neoplasms consists of benign to borderline benign mucinous cystic tumors, to low-grade malignant or malignant mucinous cystadenocarcinomata. There are several surgical procedures for dissection an urachus remnant. We performed a robot-assisted laparoscopic partial cystectomy with simultaneous cystoscopy for a lesion at the dome of the urinary bladder. Patient and surgical procedure: We present a case of a 59-year-old woman who was diagnosed with recurrent breast carcinoma. A staging PET-CT revealed a mass at the dome of the urinary bladder. We performed a robot-assisted laparoscopic partial cystectomy with cystoscopic guidance. The lesion was excised en-bloc with the median umbilical ligament. Results: The patient was discharged one day after surgery, there were no complications. The Foley bladder catheter was removed five days postoperatively, after cystography showed no extravasation. Histopathological diagnosis reported a rare mucinous cystic tumor of low malignant potential. The patient experienced no change in micturition six weeks after surgery. Discussion: A robot-assisted laparoscopy with cystoscopic assistance is a safe and feasible technique for a maximal bladder-sparing partial cystectomy.http://www.sciencedirect.com/science/article/pii/S2590089723000038CystoscopyRobot-assisted laparoscopyUrachusPartial cystectomy |
| spellingShingle | Quinten Bogaerts Joren Vanthoor Hans Goethuys Yannic Raskin Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy Urology Video Journal Cystoscopy Robot-assisted laparoscopy Urachus Partial cystectomy |
| title | Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| title_full | Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| title_fullStr | Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| title_full_unstemmed | Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| title_short | Cystoscopic and robotic-assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| title_sort | cystoscopic and robotic assisted laparoscopic excision of a rare urachus neoplasm by partial cystectomy |
| topic | Cystoscopy Robot-assisted laparoscopy Urachus Partial cystectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2590089723000038 |
| work_keys_str_mv | AT quintenbogaerts cystoscopicandroboticassistedlaparoscopicexcisionofarareurachusneoplasmbypartialcystectomy AT jorenvanthoor cystoscopicandroboticassistedlaparoscopicexcisionofarareurachusneoplasmbypartialcystectomy AT hansgoethuys cystoscopicandroboticassistedlaparoscopicexcisionofarareurachusneoplasmbypartialcystectomy AT yannicraskin cystoscopicandroboticassistedlaparoscopicexcisionofarareurachusneoplasmbypartialcystectomy |