Robotic Intracorporeal Continent Cutaneous Diversion
Mihir M Desai1, Giuseppe Simone1, Andre Luis de Castro Abreu1
1Section of Robotic Surgery, University of Southern California Institute of Urology, Catherine and Joseph Aresty Department of Urology, University of Southern California, Los Angeles, California; Department of Urology, Regina Elena National Cancer Institute (GS, MF, SG, FM, MG), Rome, Italy.
The Journal of Urology
|March 25, 2017
Summary
This study introduces the robotic intracorporeal Indiana pouch urinary diversion, showing it is feasible and safe for cancer patients. Most patients achieved full continence after this novel robotic procedure.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic urinary diversion typically involves ileal conduit or orthotopic neobladder.
- The Indiana pouch is a less common, but effective, form of continent urinary diversion.
Purpose of the Study:
- To present the initial series, technique, and outcomes of robotic intracorporeal Indiana pouch urinary diversion.
- To evaluate the feasibility and early results of this specific robotic procedure.
Main Methods:
- Ten patients underwent robotic radical cystectomy with intracorporeal Indiana pouch urinary diversion.
- Data collected prospectively included operative time, blood loss, complications, and functional outcomes at 1-year follow-up.
Main Results:
- All 10 procedures were completed intracorporeally without conversion to open surgery.
- Median operative time was 6 hours, with a median hospital stay of 10 days.
- Nine of ten patients achieved complete urinary continence at a median follow-up of 13.7 months.
Conclusions:
- Robotic completely intracorporeal Indiana pouch diversion is feasible with acceptable early outcomes.
- Further long-term follow-up is necessary to fully assess functional results of this technique.
