Initial experience with successful totally robotic laparoscopic cystoprostatectomy and ileal conduit construction in tetraplegic patients: report of two cases.
OBJECTIVE
To evaluate the feasibility and safety of totally robotic laparoscopic cystoprostatectomy for neurogenic bladder, with intracorporeal ileal-conduit urinary diversion in tetraplegic patients with severe neurogenic bladder complications.


METHODS
Two men, 41 and 38 years old, with complete post-traumatic C7-C8 quadriplegia and poor lower urinary-tract condition underwent totally transperitoneally performed cystoprostatectomy and ileal-conduit urinary diversion with robotic assistance (Da Vinci).


RESULTS
The procedures were completed without open conversion. The total surgical time was 9.25 and 6.75 hours, respectively. There were no intraoperative complications. In the postoperative period, both patients had mild complications (pulmonary and urinary infections) that were treated successfully medically. The postoperative hospital stay was 13 days in both cases.


CONCLUSIONS
Our results demonstrate the safety and feasibility of robot-assisted laparoscopic cystoprostatectomy with ileal-conduit urinary diversion in two tetraplegic patients.
Hubert
Jacques
J
Service d'Urologie, CHU de Nancy-Brabois, Nancy, France. j.hubert@chu-nancy.fr
Chammas
Mario
M
Larre
Stephane
S
Feuillu
Benoit
B
Cheng
Fan
F
Beis
Jean-Marie
JM
Coissard
Alain
A
Andre
Jean Marie
JM
D000328:Adult; D015653:Cystectomy / Q000379:methods*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011468:Prostatectomy / Q000379:methods*; D011782:Quadriplegia / Q000150:complications*; D012371:Robotics; D012720:Severity of Illness Index; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*