Robot-assisted Bricker ileoureteral anastomosis during intracorporeal laparoscopic ileal conduit urinary diversion for prostatocutaneous fistula: case report.
OBJECTIVE
The da Vinci robot is useful during minimally invasive surgery in performing intracorporeal suturing. We report one case of its application during laparoscopic ileal conduit urinary diversion for prostatocutaneous fistula.


METHODS
A 58-year-old paraplegic man with a neurogenic bladder and bowel and a long history of urinary incontinence developed a prostatocutaneous fistula after numerous procedures to correct the incontinence. He underwent laparoscopic ileal conduit urinary diversion to improve his quality of life. The da Vinci robot was used to perform the ileoureteral anastomosis.


RESULTS
The operative time was 10 hours. The estimated blood loss was <100 mL. There were no intraoperative complications. The patient was started on a clear liquid diet on postoperative day 3. There was no narcotic use because of the patient's neurologic status. The patient was discharged home on day 6.


CONCLUSIONS
Laparoscopic urinary diversion remains a technically challenging procedure. The da Vinci robot is useful during laparoscopic ileal conduit construction.
Yohannes
Paulos
P
Department of Surgery, Creighton University, Omaha, Nebraska 68131, USA. Pyohannes@hotmail.com
Khan
A
A
Francis
Karl
K
Sudan
Ranjan
R
D000714:Anastomosis, Surgical / Q000379:methods; D017577:Cutaneous Fistula / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011469:Prostatic Diseases / Q000601:surgery*; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome; D014547:Urinary Diversion / Q000379:methods*; D014548:Urinary Fistula / Q000601:surgery*