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Updated: Jul 5, 2026
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Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
Published on: January 3, 2020
Extraperitoneal Single-Port Robotic-Assisted Radical Cystectomy with Orthotopic Ne-obladder: Technique and Surgical
Naiwen Chen1,2,3,4, Lichen Chen1,2,3,4, Jinming Cai1,2,3,4
1Urology Centre, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Summary
This study shows extraperitoneal single-port robot-assisted radical cystectomy (RARC) with neobladder reconstruction is safe and effective for muscle-invasive bladder cancer (MIBC). It offers improved outcomes and fewer complications compared to traditional methods.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Radical cystectomy (RC) is standard for muscle-invasive bladder cancer (MIBC).
- Single-port robot-assisted radical cystectomy (RARC) offers minimally invasive benefits.
- Transperitoneal approaches can cause gastrointestinal complications.
Purpose of the Study:
- To evaluate an optimized extraperitoneal single-port RARC with orthotopic neobladder reconstruction.
- To assess surgical safety and clinical outcomes of this technique.
- To compare outcomes with conventional methods.
Main Methods:
- A 57-year-old male with high-grade urothelial carcinoma underwent extraperitoneal single-port RARC using the da Vinci Xi system.
- The procedure involved a single infraumbilical incision and a multichannel device.
- Orthotopic neobladder reconstruction was performed using a segment of ileum.
Main Results:
- Operative time was 400 minutes with 200 mL blood loss; no transfusion was required.
- No perioperative complications occurred; patient discharged on postoperative day 6.
- 12-month follow-up showed no tumor recurrence, normal renal function, and good continence.
Conclusions:
- Extraperitoneal single-port RARC with orthotopic neobladder is a feasible minimally invasive option for MIBC.
- The technique avoids intestinal mobilization, reducing abdominal complications.
- It provides reliable oncological results and improves quality of life.
