title: Robot-assisted laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion: initial experience in Korea.
abstract: In this paper, we report our initial experience of robot-assisted laparoscopic radical cystoprostatectomy (RLRC) with an ileal conduit urinary diversion (ICUD). Our patient was a 59-year-old man presenting with a clinical T4 invasive transitional cell carcinoma of the bladder and prostate. A RLRC was performed with the da Vinci() robot system (Intuitive Surgical, Mountain View, CA), which has a total of seven degrees of motion (six degrees of freedom and grip), and EndoWrist (Intuitive Surgical) instrumentation. The specimen was extracted through the 8-cm-sized incision in the umbilical trocar site. The ICUD was achieved through a removal site of a specimen by an extracorporeal technique. The total operative time was 340 minutes and the estimated blood loss was 600 mL. The pathologic examination showed a stage T4a, with negative surgical margins. A RLRC can be an alternative to the open technique. We are the first group to perform RLRC in Korea and to report on our technique and outcome.
authors.affiliation: Department of Urology, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea. syparkuro@yumc.yonsei.ac.kr
authors.forename: Sung Yul
authors.initials: SY
authors.lastname: Park
authors.forename: Kang Su
authors.initials: KS
authors.lastname: Cho
authors.forename: Won Sik
authors.initials: WS
authors.lastname: Ham
authors.forename: Hyun Min
authors.initials: HM
authors.lastname: Choi
authors.forename: Sung Joon
authors.initials: SJ
authors.lastname: Hong
authors.forename: Koon Ho
authors.initials: KH
authors.lastname: Rha
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D015653:Cystectomy / Q000295:instrumentation*; D006801:Humans; D007723:Korea; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000295:instrumentation*; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012371:Robotics; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000295:instrumentation*