Surgical Anatomy and Clinical Relevance to Robot-Assisted Cystectomy and Urinary Diversion

Bastian Amend, Panagiotis Mourmouris, Peter Wiklund, Arnulf Stenzl, Stavros I. Tyritzis

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

Abstract

The development of the robotic platform and its use in radical urological procedures does not alter basic anatomical landmarks, but it does improve the vision and dexterity of the surgeons. Especially, the enhanced vision has assisted in identifying existing anatomy and preserving it more efficiently than with open surgery. Moreover, robotic surgeons have developed a standardized surgical procedure, in a stepwise fashion, that facilitates the flow of the procedure. These steps require additional caution in anatomical landmarks that may not usually be a part of the open approach. This chapter emphasizes on the basic anatomical knowledge of the male and female pelvis and peritoneal cavity, with specific attention to the basic steps of radical cystectomy and urinary diversion and their impact on the final outcomes of the procedure. The chapter also gives special attention to anatomical structures like nerves and vessels that may have an important role in the functional and oncological outcomes of the technique and for the risk of complications. We believe that the combination of these new findings along with the traditional anatomical landmarks will significantly increase the success of this complex and demanding urological procedure.

Original languageEnglish
Title of host publicationRobotic Urologic Surgery
Subtitle of host publicationThird Edition
PublisherSpringer International Publishing
Pages613-625
Number of pages13
ISBN (Electronic)9783031003639
ISBN (Print)9783031003622
DOIs
StatePublished - 1 Jan 2022
Externally publishedYes

Keywords

  • Pelvic floor
  • Pelvic innervation
  • Pelvic topography
  • Robot-assisted cystectomy
  • Urinary bladder

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