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ROBOTIC PROSTATECTOMY IN A CHILD OF 7 YEARS: A CASE REPORT
Anahi Maria Del Valle SALOMON VENEGAS, Victor ARANIBAR, Jimena ESNAOLA, Roberto VAGNI, Maria ORMAECHEA,
Francisco DE BADIOLA and Juan MOLDES
HOSPITAL ITALIANO DE BUENOS AIRES, UROLOGIA PEDIATRICA, Ciudad Autonoma De Buenos Aires, ARGENTINA
PURPOSE
The prostatic glàndua is one of the common sites of rhabdomyosarcoma in pediatric patients. In surgical therapy,
bladder preservation is a goal when there is bladder involvement. We report a case of prostatic rhabdomyosarcoma type
embryo in a child of seven years old.
MATERIAL AND METHODS
We perform robotic prostatectomy, partial cystectomy and continent urinary ostma (Mitrofanoff) The patient previously
received 2 cycles of chemotherapy with vicristina, doxorubicin and actinomycin. For non response, we use a scheme
with second-line drugs. He receives 4 cicles with etoposide and cysplatine. Then he underwent surgery.
Intraoperative endoscopy showed bladder floor unscathed
We used transabdominal approach with 4 ports and other accessory manual port.
RESULTS
Dissection anterior bladder, prostate lateral dissection. Dissection of prerectal space. Proximal section of the bladder
neck two centimeters away from the bladder trigone and distal at
bulbar urethra level section. Bladder suture in two planes with neck closure, cystostomy catheter placement and
preparation of urinary stoma with Mitrofanoff technique. Surgical time was 8 hours. There were no complications.
Hospital stay 4 days.
CONCLUSIONS
Robotic transabdominal approach in therapy of prostatic rhabdomyosarcoma in pediatric patients in a safe and effective
alternative. Avoid also the need for a second approach for distal via perineal dissection of compromised urethra.