Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University12210.18499/2070-478X-2013-6-3-361-366UnknownRobotic-Assisted Resection in Case of Urinary Bladder Feohromotsytomechief research officer of the 1-st abdominal department Institute of Surgery by A.V. Vishnevskiy, Phdauthor@vestnik-surgery.comhead of the urology department Institute of Surgery by A.V. Vishnevskiy, professor, doctor of medical scienceauthor@vestnik-surgery.comhead of the 1-st abdominal department Institute of Surgery by A.V. Vishnevskiy, professor, doctor of medical scienceauthor@vestnik-surgery.comhead of the radioligy department Institute of Surgery by A.V. Vishnevskiy, professor, doctor of medical scienceauthor@vestnik-surgery.comchief research officer of the clinical ultrasound department Institute of Surgery by A.V. Vishnevskiy, Phdauthor@vestnik-surgery.comadvanced student of the abdominal department Institute of Surgery by A.V. Vishnevskiyauthor@vestnik-surgery.comresearch officer of the 1-st abdominal department Institute of Surgery by A.V. Vishnevskiy, Phd.author@vestnik-surgery.comInstitute of Surgery by A.V. Vishnevskiy, Moscow, Russian Federation24092013633613662704201627042016Copyright © 2013, ., ., ., ., ., ., .2013Relevance Urinary bladder chromaffinoma is a rare condition. At that its clinical symptoms acute blood pressure increase, heartbeat, headache after emiction are so specific that allow to suspect the correct diagnosis with high accuracy. Being suspicious in respect of this illness the diagnosis can be easily verified with the complex scan and cystoscopy. Recently active complementation of robotic techniques to minimally invasive surgery takes place. This technology allows to enlarge visible the opportunities of the traditional laparoscopic procedure. The purpose of the study To demonstrate a rare clinical case and a high effectiveness of the robotic complex in the pelvic surgery. Materials and methods In the Surgery Institution Named for A.V. Vishnevskiy in January 2013 first robot-assisted resection of the neck of urinary bladder regarding chromaffinoma in Russia was performed. Results and their discussion Technical aspects of robot-assisted operations for urinary bladder neck tumors were worked out. The interventions are performed according to all oncology principles. At the same time they are up-to-date criteria of less traumatic treatment. Conclusion Recently we think that operation of choice in case of chromaffinoma of the urinary bladder is robot-assisted resectionRobotrobotic-assistedfeohromotsytomeurinary bladderРоботробот-ассистированныефеохромоцитомамочевой пузырь[1. Das S, Bulusa NV, Lowe P. Pervichnyj puzyrek Feohromocitoma [ Primary vesicle][Pheochromocytoma]. Urology 1983; 21: 20-5.][2. Kang SG, Kang SH, Choi H, Ko YH, Park HS, Cheon][J. Robotizirovannoj chastichnoj cistehktomii mochevogo puzyrya][feohromocitoma [Robot-assisted partial cystectomy of a bladder][Pheochromocytoma]. Urol Int. 2011;87(2): 241-4.][3. Nayyar R, Singh P, Gupta NP. Robotizirovannaya upravleniya feohromocitomy v puzyrno-mochetochnikovogo Junction [Robotic Management of][Pheochromocytoma of the Vesicoureteric Junction]. JSLS][2010; 14: 309–312.][4. Onishi T, Sakata Y, Yonemura S, Sugimura Y.][Feohromocitoma mochevogo puzyrya bez tipichnyh simptomov [Pheochromocytoma of the urinary bladder without typical][Symptoms]. Int J Urol 2003; 10: 398-400.][5. Pandey R, Garg R, Roy K, Darlong V, Punj J, Kumar A.][Perianesthetic upravleniya pervogo robotizirovannogo chastichnogo][cistehktomii v feohromocitomy mochevogo puzyrya. [Perianesthetic management of the first robotic partial][cystectomy in bladder pheochromocytoma.] A case report.][Minerva Anestesiol. 2010 Apr;76(4): 294-7.][6. Song Wu, Yingying He, Kai Yao, Yongqin Lai, Zhiming Cai,][Fangjian Zhou. PRIMER SOOBSHCHAET: feohromocitoma v][mochevoj puzyr' [CASE REPORTS: Pheochromocytoma in][the urinary bladder]. BJUIw-2011-032-web.][7. WK Tsai, Stone Yang. Puzyr' Feohromocitoma: tematicheskoe otchet [Bladder Pheochromocytoma: A Case][Report]. JTUA 2004; 15(1): 19-22.][8. Zimmerman IJ, Biron RE, MacMmahon HE.][Feohromocitoma mochevogo puzyrya [Pheochromocytoma of the urinary bladder]. N Engl J Med][1953; 249: 25-26.]