Completely intracorporeal robotic-assisted laparoscopic ileovesicostomy

Area of Science:

• Urology
• Robotic Surgery
• Neurosurgery

Background:

• Neurogenic bladder dysfunction, often resulting from conditions like paraplegia, requires effective urinary management.
• Ileovesicostomy is a surgical option for managing complex bladder issues.
• Robotic-assisted laparoscopic surgery offers minimally invasive approaches to complex procedures.

Purpose of the Study:

• To report a completely intracorporeal robotic-assisted laparoscopic ileovesicostomy.
• To evaluate the long-term follow-up and outcomes of this procedure.

Main Methods:

• A 55-year-old male patient with neurogenic bladder dysfunction underwent a completely intracorporeal robotic-assisted laparoscopic ileovesicostomy.
• The procedure utilized the da Vinci Surgical system.
• Operative time was 330 minutes with an estimated blood loss of 100 mL.

Main Results:

• The patient experienced no perioperative complications.
• Over two years postoperatively, the patient maintained low-pressure urinary drainage.
• The patient remained free of urethral incontinence.

Conclusions:

• Completely intracorporeal robotic-assisted laparoscopic ileovesicostomy is a feasible and effective treatment for neurogenic bladder dysfunction.
• This minimally invasive approach provides durable, long-term functional outcomes.
• Robotic surgery facilitates complex urological reconstructions with good patient recovery.