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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Medycyna Praktyczna
2025-03-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17932/ |
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| author | Michal Balík Pavel Navrátil Lucie Šmejkalová Miloš Broďák |
| author_facet | Michal Balík Pavel Navrátil Lucie Šmejkalová Miloš Broďák |
| author_sort | Michal Balík |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-23b045fe4e1b4325b47eac2b6d983a42 |
| institution | OA Journals |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-23b045fe4e1b4325b47eac2b6d983a422025-08-20T02:32:29ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542025-03-0120111411710.20452/wiitm.2025.17932Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooingMichal Balík0Pavel Navrátil1Lucie Šmejkalová2Miloš Broďák3Department of Urology, University Hospital Hradec Králové, Hradec Králové, Czechia; Department of Surgery, Charles University, Faculty of Medicine in Hradec Králové, Hradec Králové, CzechiaDepartment of Urology, University Hospital Hradec Králové, Hradec Králové, Czechia; Department of Surgery, Charles University, Faculty of Medicine in Hradec Králové, Hradec Králové, CzechiaDepartment of Central Operating Theaters and Sterilization, University Hospital Hradec Králové, Hradec Králové, CzechiaDepartment of Urology, University Hospital Hradec Králové, Hradec Králové, Czechia; Department of Surgery, Charles University, Faculty of Medicine in Hradec Králové, Hradec Králové, Czechia 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.https://www.mp.pl/videosurgery/issue/article/17932/bladder wall tattooinginflammatory myofibroblastic tumorrobot‑assisted urinary bladder resection |
| spellingShingle | Michal Balík Pavel Navrátil Lucie Šmejkalová Miloš Broďák Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing Videosurgery and Other Miniinvasive Techniques bladder wall tattooing inflammatory myofibroblastic tumor robot‑assisted urinary bladder resection |
| title | Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| title_full | Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| title_fullStr | Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| title_full_unstemmed | Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| title_short | Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| title_sort | robot assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing |
| topic | bladder wall tattooing inflammatory myofibroblastic tumor robot‑assisted urinary bladder resection |
| url | https://www.mp.pl/videosurgery/issue/article/17932/ |
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