Robot-assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F25%3A10499117" target="_blank" >RIV/00179906:_____/25:10499117 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11150/25:10499117

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=SIpMQ8PI4u" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=SIpMQ8PI4u</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.20452/wiitm.2025.17932" target="_blank" >10.20452/wiitm.2025.17932</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Robot-assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing

Popis výsledku v původním jazyce

Inflammatory myofibroblastic tumors (IMTs) of the bladder are rare, with a limited number of cases reported in the literature. Complete resection with negative margins is essential to reduce the risk of recurrence, while bladder function preservation is also crucial for the patient. This study describes a 56-year-old patient with a bladder dome IMT managed using robot-assisted partial cystectomy facilitated by perioperative cystoscopic tattooing to precisely demarcate the tumor margins. The procedure began with cystoscopic tattooing of the lesion using Black EyeTM dye, followed by robotic resection with the da Vinci Xi system. Complete transmural resection and a 2-layer bladder closure were performed, with preservation of the bladder capacity. The patient experienced minimal blood loss, no intraoperative complications, and was discharged 2 days after the procedure. Follow-up examinations, including cystoscopy and computed tomography, confirmed no recurrence 12 months after surgery. Cystoscopic tattooing facilitated clear intraoperative tumor localization, enabling precise resection and minimal bladder wall loss. This approach addressed a key challenge of robotic bladder surgery-lack of tactile feedback-while maintaining functional outcomes. Robot-assisted partial cystectomy with cystoscopic tattooing represents a promising alternative to maximal transurethral resection, especially in the context of bladder-sparing trimodal therapy, for patients who are not eligible for or unwilling to undergo radical cystectomy. This technique is particularly relevant given the increasing focus on minimally invasive procedures and advancements in systemic therapy. In the future, this method could be adapted for ureteral robotic surgeries to enhance lesion localization.

Název v anglickém jazyce

Robot-assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing

Popis výsledku anglicky

Inflammatory myofibroblastic tumors (IMTs) of the bladder are rare, with a limited number of cases reported in the literature. Complete resection with negative margins is essential to reduce the risk of recurrence, while bladder function preservation is also crucial for the patient. This study describes a 56-year-old patient with a bladder dome IMT managed using robot-assisted partial cystectomy facilitated by perioperative cystoscopic tattooing to precisely demarcate the tumor margins. The procedure began with cystoscopic tattooing of the lesion using Black EyeTM dye, followed by robotic resection with the da Vinci Xi system. Complete transmural resection and a 2-layer bladder closure were performed, with preservation of the bladder capacity. The patient experienced minimal blood loss, no intraoperative complications, and was discharged 2 days after the procedure. Follow-up examinations, including cystoscopy and computed tomography, confirmed no recurrence 12 months after surgery. Cystoscopic tattooing facilitated clear intraoperative tumor localization, enabling precise resection and minimal bladder wall loss. This approach addressed a key challenge of robotic bladder surgery-lack of tactile feedback-while maintaining functional outcomes. Robot-assisted partial cystectomy with cystoscopic tattooing represents a promising alternative to maximal transurethral resection, especially in the context of bladder-sparing trimodal therapy, for patients who are not eligible for or unwilling to undergo radical cystectomy. This technique is particularly relevant given the increasing focus on minimally invasive procedures and advancements in systemic therapy. In the future, this method could be adapted for ureteral robotic surgeries to enhance lesion localization.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30217 - Urology and nephrology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Videosurgery and Other Miniinvasive Techniques

ISSN

1895-4588

e-ISSN

2299-0054

Svazek periodika

20

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

PL - Polská republika

Počet stran výsledku

4

Strana od-do

114-117

Kód UT WoS článku

001473711900015

EID výsledku v databázi Scopus

2-s2.0-105012603981