{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:28:39Z","timestamp":1790260119152,"version":"4.1.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziele\u2002Seit Oktober 2018 werden Harnblasendivertikelresektionen in der Klinik f\u00fcr Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie der Sozialstiftung Bamberg roboterassistiert und minimalinvasiv, mit dem DaVinci-Operationssystem\u00ae, durchgef\u00fchrt. Das Ziel dieser Arbeit ist die operativen Ergebnisse unserer Patienten zu objektivieren und mit anderen Daten zu vergleichen, um ggf. die Diagnostik und Therapie zu optimieren.<\/jats:p><jats:p>\n          Methoden\u2002In dieser retrospektiven Analyse haben wir alle Patienten, die zwischen Oktober 2018 und Mai 2020 eine RAHDR erhalten haben, eingeschlossen. Die prim\u00e4ren Endpunkte waren: der intraoperative bzw. postoperative Blutverlust (H\u00e4moglobin-Abfall postoperativ), die Operationszeit (min), die Hospitationsdauer (Tage), der postoperative Restharn, das Auftreten von Anastomoseninsuffizienzen, die postoperative Lebensqualit\u00e4t und die postoperative Zufriedenheit mit den Miktionsverh\u00e4ltnissen.<\/jats:p><jats:p>\n          Ergebnisse\u2002Es konnten insgesamt 11 Patienten eingeschlossen werden. Das mittlere Alter betrug 64,8 Jahre (52\u201382) und alle Patienten waren m\u00e4nnlich. Der durchschnittliche BMI war 26,5\u200akg\/m\u00b2 (19\u201337). 3 Patienten wurden mit ASA-Score III eigestuft, 5 mit II und 3 mit I. Der durchschnittliche Restharnwert pr\u00e4operativ lag bei 183\u200aml (90\u2013240). 7 von 11 Patienten bekamen simultan eine oder 2 weitere Operationen. Ein Zystogramm zum Ausschluss einer Extravasation erfolgte am f\u00fcnften bzw. sechsten postoperativen Tag. Die mittlere Operationszeit war 212\u200amin (148\u2013294) und die mittlere Hospitationsdauer betrug 7,6 Tage (6\u201310). Der durchschnittliche postoperative Restharnwert war 25\u200aml (10\u201360). Die durchschnittliche postoperative maximale Harnflussrate (max. Flow) wurde mit 27,7\u200aml\/s (11\u201355) gemessen. Bei keinem der Patienten wurde eine Kontrastmittelextravasation im Zystogramm nachgewiesen. Die Komplikationen nach Clavien waren nicht objektivierbar. Der mittlere postoperative Hb-Abfall betrug 1,61\u200ag\/dl (0\u20133,2).<\/jats:p><jats:p>\n          Schlussfolgerungen\u2002In den meisten F\u00e4llen ist die Entfernung eines oder mehrerer Blasendivertikel \u00fcber die minimalinvasive roboterassistierte Technik m\u00f6glich. Dabei ist die M\u00f6glichkeit gegeben verschiedene Operationen wie YV-Blasenhalsplastik, Prostataadenomenukleation, Blasensteinsanierung, Leistenherniotomie u.\u200aa. simultan durchzuf\u00fchren. Eine roboterassistierte Harnblasendivertikelresektion ist ein effektives und schonendes Verfahren, welches aber, durch fehlende DRG-Abbildung, finanzielle Nachteile f\u00fcr den Leistungserbringer verursachen kann.<\/jats:p>","DOI":"10.1055\/a-1327-5509","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T23:05:01Z","timestamp":1620774301000},"page":"254-261","source":"Crossref","is-referenced-by-count":2,"title":["Roboterassistierte Harnblasendivertikelresektion (RAHDR)"],"prefix":"10.1055","volume":"53","author":[{"given":"David","family":"Kajaia","sequence":"additional","affiliation":[{"name":"Sozialstiftung Bamberg, Klinik f\u00fcr Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0849-9259","authenticated-orcid":false,"given":"Benjamin","family":"Hager","sequence":"additional","affiliation":[{"name":"Sozialstiftung Bamberg, Klinik f\u00fcr Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Kliebisch","sequence":"additional","affiliation":[{"name":"Sozialstiftung Bamberg, Klinik f\u00fcr Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Weing\u00e4rtner","sequence":"additional","affiliation":[{"name":"Sozialstiftung Bamberg, Klinik f\u00fcr Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Seggewiss-Bernhardt","sequence":"additional","affiliation":[{"name":"Sozialstiftung Bamberg, Medizinische Klinik V, H\u00e4matologie und Internistische Onkologie, 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