Robot-assisted bladder diverticulectomy in adults: a systematic review and pooled analysis of perioperative and functional outcomes.
Christos Costa, Foteini Moniati, Christoforos Demosthenous
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In 30 seconds
This systematic review analyzed the perioperative and functional outcomes of robot-assisted bladder diverticulectomy (RABD) in adults, including 12 studies with 146 patients. The study found no conversions to open surgery and a major complication rate of 3.0%. Overall, RABD demonstrated feasibility and low short-term morbidity.
Key findings
- No conversions to open surgery were reported (0/129; 95% CI 0-2.9%).
- Major complications occurred in 3.0% of patients (4/135; 95% CI 1.2-7.4%).
- Operative time averaged 163 minutes, with a blood loss of 99 mL.
- Symptom scores and post-void residual improved in every reporting series.
Why it matters
Understanding the outcomes of RABD is crucial for clinicians managing patients with bladder diverticula, as it highlights the procedure's feasibility and low complication rates, informing surgical decision-making.
What to keep in mind
The evidence is limited by small, heterogeneous, mostly retrospective series, which may affect the generalizability of the findings.