Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing
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...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medycyna Praktyczna
2025-03-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.mp.pl/videosurgery/issue/article/17932/ |
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| Summary: | 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 facili
tated by perioperative cystoscopic tattooing to precisely demarcate the tumor margins. The procedure
began with cystoscopic tattooing of the lesion using Black Eye 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 intraopera
tive 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. |
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| ISSN: | 1895-4588 2299-0054 |