Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy

Charles R. Moore, Samir P. Shirodkar, Michael A. Avallone, Scott M. Castle, Michael A. Gorin, Vladislav Gorbatiy, Raymond J. Leveillee

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: The aim of this report is to describe our surgical technique for robot-assisted laparoscopic bladder diverticulectomy. In this technique, methylene blue is instilled into the bladder to aid in intra-abdominal identification of the diverticular neck. Subjects and Methods: We retrospectively reviewed the records of patients who underwent robot-assisted bladder diverticulectomy by a single surgeon. Results: Between September 2008 and January 2011, 5 patients successfully underwent robot-assisted laparoscopic bladder diverticulectomy using 1% intravesical methylene blue. All cases were completed without intraoperative complication or need for open conversion. Mean operative time was 216 minutes, with a mean estimated blood loss of 45 mL. Patients were discharged 1-2 days following surgery. No patient experienced a perioperative complication. Conclusions: The robot-assisted approach for bladder diverticulectomy is a viable alternative to both open and laparoscopic surgery. The use of intravesical methylene blue greatly aids in identification of the diverticular neck during this procedure.

Original languageEnglish
Pages (from-to)492-495
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume22
Issue number5
DOIs
StatePublished - Jun 1 2012
Externally publishedYes

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Methylene Blue
Urinary Bladder
Neck
Intraoperative Complications
Operative Time
Ambulatory Surgical Procedures
Laparoscopy

ASJC Scopus subject areas

  • Surgery

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Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. / Moore, Charles R.; Shirodkar, Samir P.; Avallone, Michael A.; Castle, Scott M.; Gorin, Michael A.; Gorbatiy, Vladislav; Leveillee, Raymond J.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 22, No. 5, 01.06.2012, p. 492-495.

Research output: Contribution to journalArticle

Moore, Charles R. ; Shirodkar, Samir P. ; Avallone, Michael A. ; Castle, Scott M. ; Gorin, Michael A. ; Gorbatiy, Vladislav ; Leveillee, Raymond J. / Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. In: Journal of Laparoendoscopic and Advanced Surgical Techniques. 2012 ; Vol. 22, No. 5. pp. 492-495.
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AU - Gorin, Michael A.

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