Search

O adenocarcinoma de úraco é uma neoplasia incomum associada a prognóstico reservado. Realiza-se estudo clínico e anatomopatológico de dois casos de adenocarcinoma de úraco: um homem de 63 anos de idade que apresentou recidiva tumoral após cistectomia parcial aberta e evolução desfavorável; e uma mulher de 55 anos, submetida à cistectomia parcial videolaparoscópica, que se encontra em seguimento livre de recidiva.Urachal adenocarcinoma is an uncommon neoplasm associated with poor prognosis. A clinical and pathological study of two cases of urachal adenocarcinoma is presented: a 63-year-old man with tumoral recurrence after open partial cystectomy and unfavorable evolution; a 55-year-old woman who underwent laparoscopic partial cystectomy without recurrence in the follow up.

Purpose: To report the initial experience on robot-assisted radical prostatectomy in Brazil. Methods: From March 2008 to March 2009, a hundred patients were treated with robot-assisted radical prostatectomy. Patient’s demographic data, as well as perioperative results of the procedures, are described in this study. Rresults: Patients’ mean age and mean PSA were 58 years and 7.58 ng/ml, respectively. All procedures were performed through transperitoneal approach, with a mean bleeding of 480 mL and surgical time of 298 minutes. A surgical margin affected by cancer was present in 16% of the cases. There were four complications: bleeding requiring transfusion (two cases), rectal perforation corrected on the spot and inadequate functioning of the robot. There was no conversion to another access or obit occurrences in this caseload. Cconclusions: Robot-assisted prostatectomy is a reality in Brazil and the results herein presented demonstrate that this procedure can be safely performed. Long-term follow-up is still necessary to assess the oncological and functional outcomes.