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Published on: February 12, 2022
Robot-assisted laparoscopic radical cystoprostatectomy and totally intracorporeal ileal neobladder
Leandro G Sala1, Garrett S Matsunaga, Federico A Corica
1Department of Urology, UCI Medical Center, University of California, Irvine, Orange 92868, USA.
Purpose:
To describe robot-assisted laparoscopic radical cystoprostatectomy and intracorporeal orthotopic ileal neobladder construction.
Methods:
With the use of the daVinci Surgical System (Intuitive Surgical, Sunnyvale, CA), we performed laparoscopic radical cystectomy and intracorporeal construction of an orthotopic ileal neobladder (modified W pouch).
Results:
The total operative time was 12 hours, and the estimated blood loss was 100 mL. There were no intraoperative or postoperative complications, and the patient?s hospital stay was 5 days. At early follow-up, oncologic and functional results are good.
Conclusion:
Robot-assisted laparoscopic radical cystoprostatectomy with intracorporeal ileal neobladder construction is technically feasible. However, its role in the management of invasive bladder cancer remains to be defined.
