Robotic-assisted laparoscopic radical cystectomy and intra-abdominal formation of an orthotopic ileal neobladder.
OBJECTIVE
To describe our technique of robotic-assisted laparoscopic radical cystectomy and intra-abdominal formation of an orthotopic neobladder (Hautmann) for treatment of transitional cell carcinoma of the bladder.


METHODS
We describe our surgical technique in the worldwide first attempt to perform a robotic-assisted laparoscopic radical cystectomy and completely intra-abdominal formation of an orthotopic neobladder. The DaVinci System (Intuitive Surgical, Mountain View, CA, USA) was utilized to perform the procedure.


RESULTS
Utilizing the DaVinci System the operation could be performed without any complications. Operating time was 8.5 hours, blood loss was 200 ml. The oncologic as well as the functional result of the reservoir were excellent.


CONCLUSIONS
We here demonstrated that sophisticated laparoscopic procedures like the intra-abdominal formation of an orthotopic neobladder are accomplishable with robotic assistance.
Beecken
W-D
WD
Department of Urology and Pediatric Urology, J.W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. beecken@em.uni-frankfurt.de
Wolfram
M
M
Engl
T
T
Bentas
W
W
Probst
M
M
Blaheta
R
R
Oertl
A
A
Jonas
D
D
Binder
J
J
D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012371:Robotics / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000295:instrumentation / Q000379:methods*; D016476:Urinary Reservoirs, Continent