Robot-assisted laparoscopic radical cystectomy with totally i ntracorporeal uri nary di versi on:short-ter m outco mes (Report of 1 0 cases)
Wasilijiang Wahafu
Ma Xin
Zhang Xu
Li Hongzhao
Ding Qiang
Chen Guangfu
Sun Shengkun
Wang Baoj un
Shi Taoping
Abstract：Objective:Toinvestigatetheclinicalfeasibilityof Robot-assistedradicalcystectomy (RARC)withto-tallyintracorporeal urinary diversion (ICUD)and to present oncologic and functional outcomes .Methods:From March2012toJune2012,RARCwithICUDwasperformedon10patientsdiagnosedpreoperativelywiththebladder urothelial carcinomas .All patients underwent ICUDfollowing RARC (ileal conduit urinary diversion for 2 patients and orthotopic ileal neobladder for 8 patients ).Results:All patients under went the laparoscopic procedure as planned . The operative ti me was 365-667 min (mean 471 min)with blood loss of 170-1 200 mL (mean 409 mL),and the numberofremovedlymphnodes was9-25 (mean18).For2patientsundergoingilealconduiturinarydiversion,the ileoureteral stents were re moved at 1st month .And for 8 patients undergoing orthotopic ileal neobladder ,the il-eoureteral stents and the urethral catheter were re moved one month after a cystogra m with confir med watertight healing .Hospital stay was 8-26 days (mean 12 days ).During the follow up period of 18-20 months (mean 19 months ),2 patients had disease recurrence and 1 died of disease .The re maining patients had satisfactory urinary continenceandnormalrenalfunctions.Conclusions:Withinitialsurgeryandshort-termfollow-up,RARCwithtotally intracorporeal urinarydiversionisfeasible.Moreextensivesurgicalexperiencesas wellaslonger-termand moreran-do mized trials will be required to better assess the appropriateness and potential of this technique .
Keywords：roboticscystectomyurinary diversionfunctiononcologic outcome
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 12-16 )