Robot-assisted laparoscopic radical cystoprostatectomy and totally intracorporeal ileal neobladder.
OBJECTIVE
To describe robot-assisted laparoscopic radical cystoprostatectomy and intracorporeal orthotopic ileal neobladder construction.


METHODS
With the use of the daVinci Surgical System (Intuitive Surgical, Sunnyvale, CA), we performed laparoscopic radical cystectomy and intracorporeal construction of an orthotopic ileal neobladder (modified W pouch).


RESULTS
The total operative time was 12 hours, and the estimated blood loss was 100 mL. There were no intraoperative or postoperative complications, and the patient?s hospital stay was 5 days. At early follow-up, oncologic and functional results are good.


CONCLUSIONS
Robot-assisted laparoscopic radical cystoprostatectomy with intracorporeal ileal neobladder construction is technically feasible. However, its role in the management of invasive bladder cancer remains to be defined.
Sala
Leandro G
LG
Department of Urology, UCI Medical Center, University of California, Irvine, Orange 92868, USA.
Matsunaga
Garrett S
GS
Corica
Federico A
FA
Ornstein
David K
DK
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011468:Prostatectomy / Q000295:instrumentation / Q000379:methods*; D012371:Robotics / Q000295:instrumentation*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent