Robot-assisted intracorporeal neobladder and ileal conduit urinary diversion: Technique, current status, and outcomes

Justin W. Collins, Abolfazl Hosseini, N. Peter Wiklund

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Although open radical cystectomy (ORC) remains the gold standard of care for muscle-invasive bladder cancer, robot-assisted radical cystectomy (RARC) continues to gain wider acceptance. The technique of robot-assisted radical cystectomy (RARC) has evolved significantly since its inception more than 10 years ago. Several high-volume centers have reported standardized techniques with refinements and subsequent oncological and functional outcomes. We summarise published outcomes for totally intracorporeal RARC in the chapter. Totally intracorporeal RARC aims to offer the benefits of a complete minimally invasive approach while replicating the oncologic outcomes of open surgery. In this chapter, we focus on the steps of intracorporeal urinary diversion in RARC, describing our approach, which has been developed over the past 10 years. We have described the Karolinska technique for both intracorporeal ileal conduit formation and neobladder formation. Our structured approach to RARC has enabled us to develop this complex service while maintaining patient outcomes comparable with ORC series. We conclude that the refinement of techniques for RARC and urinary diversion over the past 10 years has made it safe, reproducible, and oncologically sound.

Original languageEnglish
Title of host publicationRobotics in Genitourinary Surgery, Second Edition
PublisherSpringer International Publishing
Pages765-777
Number of pages13
ISBN (Electronic)9783319206455
ISBN (Print)9783319206448
DOIs
StatePublished - 1 Jan 2018
Externally publishedYes

Keywords

  • Intracorporeal ileal conduit
  • Intracorporeal orthotopic neobladder
  • Neobladder
  • Radical cystectomy
  • Robot assisted radical cystectomy
  • Robotic cystectomy
  • Surgical technique
  • Totally intracorporeal

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