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Revista mexicana de urología
On-line version ISSN 2007-4085Print version ISSN 0185-4542
Abstract
VILLEDA-SANDOVAL, Christian Isaac et al. Initial experience in intracorporeal urinary diversion after robotic-assisted laparoscopic radical cystectomy. Rev. mex. urol. [online]. 2018, vol.78, n.2, pp.155-161. Epub Dec 16, 2021. ISSN 2007-4085. https://doi.org/10.24245/revmexurol.v78i2.1693.
Background:
Robotic-assisted intracorporeal urinary diversion is a complex procedure that has shown similar oncologic and functionalresults to those with the open technique. It has not been widely performed.
Clinical case:
A retrospective review was conducted on 3 patients that underwent radical cystectomy in our robotic surgery program within the time frame of March and May 2017. Two intracorporeal neobladders and 1 intracorporeal ileal conduit were formed in patients that were 49, 45, and 70 years of age, respectively. One patient required transfusion with one unit of packed red blood cells and another patient presented with a urinary tract infection that required hospitalization. Surgery duration in the respective three cases was 540, 570, and 480 minutes and postoperative hospital stay was 6, 8, and 5 days.
Conclusions:
In our present first case series of patients that underwent robotic-assisted intracorporeal urinary diversion, the complications were aceptable and oncologic and functional control was adequate, demonstrating its feasible use in our medical environment.
Keywords : Neobladder; Radical cystectomy; Intracorporeal derivation; Ileal conduit.