Recent small case series have now been reported for robotic-assisted laparoscopic radical cystectomy (RALRC). In most of these series, the urinary diversion has been performed in an extracorporeal fashion. There have been few case reports of an intracorporeal diversion and little description of the technique of such a procedure.
In this paper, we report our initial experience with robotic-assisted laparoscopic intracorporeal urinary diversion, describing stepwise the surgical procedure itself and evaluating perioperative and pathologic outcomes of this novel procedure.
Design, setting, and participants
We studied a single-institution case series of patients undergoing robotic-assisted cystectomy and intracorporeal urinary diversion for clinically localized urothelial carcinoma of the bladder (n
RALRC and intracorporeal urinary diversion, including ileal conduit (n
The stepwise operative procedure is described in detail. Outcome measures evaluated in this series included operative variables, hospital recovery, and complication rate. Comparisons were made to a contemporaneous series of 20 patients who underwent a robotic cystectomy with extracorporeal diversion during this time period (from an experience of >100 robotic cystectomy patients since 2005).
Results and limitations
Twelve patients (mean age: 60.9 yr) underwent an intracorporeal diversion. Mean operating-room time of all patients was 5.3
Our initial experience with robotic-assisted laparoscopic intracorporeal diversion appears to be favorable with acceptable operative and short-term clinical outcomes.
Keywords: Urothelial carcinoma, Bladder cancer, Cystectomy, Diversion, Robotic.
Division of Urologic Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Corresponding author. Division of Urologic Surgery, The University of North Carolina at Chapel Hill, 2113 Physicians Office Bldg, CB7235, Chapel Hill, NC 27599, USA. Tel. +1 919 966 2574; Fax: +1 919 966 0098.
© 2010 European Association of Urology, Published by Elsevier B.V.