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Editorial comment.

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The use of the da Vinci Surgical Robotic System (Intuitive Surgical, Sunnyvale, CA) has been growing exponentially. Al-though, initially, the robotic system was used primarily for radical prostatectomy, its application in other urologic surgeries is now commonplace. The robotic surgical platform has been used for a wide range of kidney operations, including partial nephrectomy, pyelolithotomy, and pyeloplasty. A natural extension of this technology is the use of the surgical robot in the pelvis for reconstructive and extirpative surgery, such as bladder diverticulectomy, cystectomy, ureterectomy, and ureteral reim-plantation.Bladder diverticulectomy is not a commonly performed procedure; however, if a clinically significant bladder diverticulum is present, open surgery can be difficult for both the surgeon and the patient. Pure laparoscopic repair can be tricky, especially for urologists without extensive experience with laparoscopy. This report focuses on robot-assisted laparoscopic bladder diverticulectomy (RABD). RABD makes this procedure easier for urologists and patients. Their report is well written and provides the robotic surgeon with an excellent step-by-step approach of how to perform RABD.
机译:达芬奇外科手术机器人系统(Intuitive Surgical,Sunnyvale,CA)的使用呈指数增长。尽管起初,机器人系统主要用于根治性前列腺切除术,但如今它在其他泌尿外科中的应用已变得司空见惯。机器人手术平台已被广泛用于肾脏手术,包括部分肾切除术,肾盂切开术和肾盂成形术。该技术的自然扩展是在骨盆中使用外科手术机器人进行重建和根除性手术,例如膀胱憩室切除术,膀胱切除术,输尿管切除术和输尿管再植术。但是,如果存在临床上显着的膀胱憩室,则对于外科医师和患者而言都很难进行开放手术。单纯的腹腔镜修复可能很棘手,特别是对于没有腹腔镜检查经验的泌尿科医师。本报告重点介绍了机器人辅助的腹腔镜膀胱憩室切除术(RABD)。 RABD使泌尿科医师和患者更容易进行此程序。他们的报告写得很好,并为机器人外科医生提供了如何执行RABD的出色分步方法。

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