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Trends in Minimally Invasive Urological Surgery: Robot and Beyond
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Trends in Minimally Invasive Urological Surgery: Robot and Beyond

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 25 May 2025 | Viewed by 828

Special Issue Editors

Dr. Riccardo Giuseppe Bertolo

E-Mail Website
Guest Editor
Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37126 Verona, Italy
Interests: uro-oncology; kidney cancer;minimally invasive surgery; mini-laparoscopy; 3D laparoscopy; multi-port and single-port robotic surgery
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Alessandro Antonelli

E-Mail Website
Guest Editor
Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37126 Verona, Italy
Interests: urological oncology; reconstructive surgery; endometriosis; minimally invasive, laparoscopic, and robotic surgery

Special Issue Information

Dear Colleagues,

The Special Issue “Trends in Minimally Invasive Urological Surgery: Robot and Beyond” explores advancements and emerging trends in urological surgery techniques, with a focus on minimally invasive approaches including robotic-assisted surgery.;

Articles within this issue discuss the latest technologies, surgical innovations, outcomes, and future directions in the field.

Topics range from the clinical application of robotic systems in urology—including the more recently developed robotic platforms—to novel minimally invasive techniques beyond robotics— including the adoption of advanced 3D reconstruction technologies and artificial intelligence— highlighting their impact on patient care and surgical practices.

Dr. Riccardo Giuseppe Bertolo
Prof. Dr. Alessandro Antonelli
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive surgery
  • robotic surgery
  • urology
  • innovation
  • surgical technology
  • patient outcomes
  • surgical robotics
  • laparoscopic surgery
  • artificial intelligence
  • augmented reality

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Published Papers (1 paper)

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Research

10 pages, 3178 KiB  
Article
Minimally Invasive Guidewire-Aided Bladder Diverticulectomy with or Without Other Prostatic Intervention: Step by Step Description of the Procedure
by Bernardo Rocco, Alessandro Antonelli, Maria Chiara Sighinolfi, Enrico De Marzo, Simone Assumma, Luca Sarchi, Enrico Panio, Tommaso Calcagnile, Giorgio Bozzini, Riccardo Bertolo, Marinella Finocchiaro, Hakan Görkem Kazıcı, Aryan Pathak, Marcio Covas Moschovas, Vipul Patel and Mario Falsaperla
J. Clin. Med. 2025, 14(6), 1899; https://doi.org/10.3390/jcm14061899 - 12 Mar 2025
Viewed by 551
Abstract
Introduction: Laparoscopic and robotic bladder diverticulectomy is a successful option to correct bladder diverticula (BD). Nevertheless, the identification of BD could be a tricky step, due to the presence of pneumoperitoneum compressing the bladder. This occurrence could be particularly evident for the [...] Read more.
Introduction: Laparoscopic and robotic bladder diverticulectomy is a successful option to correct bladder diverticula (BD). Nevertheless, the identification of BD could be a tricky step, due to the presence of pneumoperitoneum compressing the bladder. This occurrence could be particularly evident for the posterior or postero-lateral location of BDs. We present a novel technique to overcome this concern based on a rigid guidewire previously endoscopically placed and coiled inside BD, to ensure it expands and remains stable during the dissection. The technique was used in cases of diverticulectomy concomitant to other prostatic procedures. Methods: This is a multicentric series of laparoscopic and robotic diverticulectomy performed with this original technique in 34 patients. The procedure was concomitant to other prostatic intervention in most of the cases: TURP or bladder neck incision (16); radical prostatectomy (three); Millin adenomectomy (four cases). Surgical procedure: The first step of the procedure endoscopic, consisting of the retrograde insertion of a stiff guidewire inside the BD via cystoscopy; the guidewire is pushed in until it coils inside the diverticulum, and then enlarged to make it visible transperitoneally. The guidewire stretches the diverticulum and guides the dissection up to identify its neck. The primary endpoint is to address the feasibility of the technique by considering the operative time (OT, min) and the complication rate. Results: The median size of the BDs was 5.1 cm. The location of the BD was postero-lateral or posterior in all except one case. Bladder diverticulectomy was laparoscopically performed in 25 and robotically assisted in nine cases. Median OT was 179 min (DS 42). The post-operative course was uneventful for all except two patients with symptomatic urinary tract infections. Conclusions: The use of a stiff guidewire coiling and expanding the BD is a simple and useful trick to aid BD’s identification and dissection; it aids diverticulectomy and is also concomitant to other prostatic procedures. Full article
(This article belongs to the Special Issue Trends in Minimally Invasive Urological Surgery: Robot and Beyond)
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