The clinical application of robot-assisted radical cystectomy and orthotopic ileal neo-bladder for the treatment of the urothelial carcinoma of bladder
Xiong Wei
Lyu Ji
Guo Pu
Du Yangchun
Liu Jie
Chen Fang
Yang Nian
Dou Ke
Ran Qing
Abstract：Objective:To study the safety and clinical efficacy of robot-assisted radical cystectomy and orthotopic ileal neo-bladder in patients with the urothelial carcinoma of bladder.Methods:The clinical data of 53 patients with bladder urothelial carcinoma undergoing robot-assisted radical cystectomy from November 2014 to April 2017 were analyzed and summarized on peri-operative and follow-up data including tumor pathology and function recovery.Results:The robotic-assisted radical cystectomy was successfully performed on 52 patients,and orthotopic ileal neo-bladder was done on 46 patients of them.There were no transfusion cases,and postoperative pathology surgical margin was negative.Three patients had concurrence of prostate cancer.The Foley catheter was removed one week after confirming no bladder-urethral anastomotic leakage and removing bilateral ureteral stents,and the average hospital stay was 22 d (12-33 d).The average daytime urinary continence was 27 d (1-71 d).Renal function was normal in all cases,and during the follow up period no hydronephrosis of upper urinary tract was found.Conclusions:Robot-assisted radical cystectomy and orthotopic ileal neo-bladder is feasible and safe upon the outcomes of preliminary surgery and short-term follow-up.The advantages of robotic surgical system render the smooth implementation of radical cystectomy,meanwhile preserving the neurovascular bundle and pelvic structure helps full recovery of urinary continence after surgery.To improve the long-term outcomes needs more experience and to comprehensively evaluate these techniques needs the controlled clinical trial.
Keywords：robot-assisted surgeryradical cystectomyorthotopic bladderileal neo-bladderurinary diversiononcological outcomesfunction recovery
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 261-265 )