title: Robotic-assisted radical cystectomy and orthotopic ileal neobladder using a modified Pfannenstiel incision.
abstract: OBJECTIVE
  To report our technique of robotic-assisted laparoscopic radical cystectomy with a modified Pfannenstiel incision. Robotic-assisted laparoscopic radical cystectomy has been gaining in popularity. A completely intracorporeal procedure is a technically difficult and time-consuming procedure. Most surgeons perform the diversion using a small incision, typically midline, that is also used for specimen retrieval.
  
  
  METHODS
  Radical cystectomy and pelvic lymph node dissection was performed using a da Vinci robotic platform in a standard fashion. The robot was undocked and an 8-10 cm modified Pfannenstiel incision made. A self-retaining retractor was used to expose the wound. The specimen was extracted, and an ileal neobladder was reconstructed using the incision.
  
  
  RESULTS
  We have performed this procedure in 14 patients to date. The mean age was 58 years (range 56-61). The mean estimated blood loss was 310 ± 220 mL, and the mean operating time was 6 ± 0.8 hours. No intraoperative visceral injuries were noted. None of the patients had positive surgical margins. The mean number of lymph nodes removed was 12 ± 3. The mean hospital stay was 8.5 days.
  
  
  CONCLUSIONS
  Our initial experience with our technique of robotic-assisted laparoscopic radical cystectomy and neobladder construction using a modified Pfannenstiel incision has been favorable. The incision provides good exposure, facilitating neobladder reconstruction, can be used for specimen retrieval, and heals better with a cosmetic scar.
authors.affiliation: Department of Urology, Miller School of Medicine, University of Miami, Miami, Florida 33101, USA. mmanoharan@med.miami.edu
authors.forename: Murugesan
authors.initials: M
authors.lastname: Manoharan
authors.forename: Devendar
authors.initials: D
authors.lastname: Katkoori
authors.forename: T A
authors.initials: TA
authors.lastname: Kishore
authors.forename: Elie
authors.initials: E
authors.lastname: Antebie
mesh_terms: D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012371:Robotics; D016476:Urinary Reservoirs, Continent