A solitary fibrous tumor(SFT)is a rare soft tissue neoplasm that is most commonly seen in the pleura,but in rare cases can also occur within the pelvis[1,2].There is limited literature on the robotic approach for mana...A solitary fibrous tumor(SFT)is a rare soft tissue neoplasm that is most commonly seen in the pleura,but in rare cases can also occur within the pelvis[1,2].There is limited literature on the robotic approach for management of these tumors,with most reports describing open or traditional laparoscopic approaches[3,4].There are no clear evidence-based guidelines for the management of these tumors.This video aims to provide a step-by-step approach for robot-assisted excision of a rare pelvic mass.In this video article(Supporting Information S1:Video),we demonstrate the feasibility and safety of a robotic approach to pelvic mass excision through two cases.Both cases were referred for an incidentally found pelvic mass on computed tomography imaging.Biopsy demonstrated spindle cell neoplasm favoring SFT.Figure 1 is a CT scan from the first patient showing a 4-cm enhancing mass between the bladder and sigmoid colon.Figure 2 is an MRI from the second patient showing a 3-cm mass adjacent to the left seminal vesicle.A standard robotic prostatectomy five-port configuration was used.First,we incised the posterior peritoneum and dissected the overlying fat to clarify surrounding structures.In the first case,the mass was readily identified after incision of the peritoneum.The pelvic mass was circumferentially dissected away from surrounding structures with excellent visualization.展开更多
Posterior urethral stenosis(PUS)is a known complication following prostate cancer treatment as well as other benign endoscopic treatments.Patients with PUS often fail initial endoscopic treatments and have persistent ...Posterior urethral stenosis(PUS)is a known complication following prostate cancer treatment as well as other benign endoscopic treatments.Patients with PUS often fail initial endoscopic treatments and have persistent symp-toms negatively affecting quality of life.In the past decade,a variety of dif-ferent surgical techniques and approaches have changed the landscape of PUS management.The goal of this review is to provide details on the his-torical,current,and future direction of the surgical management for PUS.展开更多
文摘A solitary fibrous tumor(SFT)is a rare soft tissue neoplasm that is most commonly seen in the pleura,but in rare cases can also occur within the pelvis[1,2].There is limited literature on the robotic approach for management of these tumors,with most reports describing open or traditional laparoscopic approaches[3,4].There are no clear evidence-based guidelines for the management of these tumors.This video aims to provide a step-by-step approach for robot-assisted excision of a rare pelvic mass.In this video article(Supporting Information S1:Video),we demonstrate the feasibility and safety of a robotic approach to pelvic mass excision through two cases.Both cases were referred for an incidentally found pelvic mass on computed tomography imaging.Biopsy demonstrated spindle cell neoplasm favoring SFT.Figure 1 is a CT scan from the first patient showing a 4-cm enhancing mass between the bladder and sigmoid colon.Figure 2 is an MRI from the second patient showing a 3-cm mass adjacent to the left seminal vesicle.A standard robotic prostatectomy five-port configuration was used.First,we incised the posterior peritoneum and dissected the overlying fat to clarify surrounding structures.In the first case,the mass was readily identified after incision of the peritoneum.The pelvic mass was circumferentially dissected away from surrounding structures with excellent visualization.
文摘Posterior urethral stenosis(PUS)is a known complication following prostate cancer treatment as well as other benign endoscopic treatments.Patients with PUS often fail initial endoscopic treatments and have persistent symp-toms negatively affecting quality of life.In the past decade,a variety of dif-ferent surgical techniques and approaches have changed the landscape of PUS management.The goal of this review is to provide details on the his-torical,current,and future direction of the surgical management for PUS.
