title: Robotic cystectomy: surgical technique.
abstract: OBJECTIVE
  • The aim of this report is to describe our surgical technique of robotic assisted radical cystectomy (RARC) with totally intracorporeal urinary diversion in patients with urinary bladder cancer.
  
  
  METHODS
  • A total of 45 patients (7 women and 38 men) with high-grade and/or muscle-invasive urothelial cancer of the bladder underwent RARC and intracorporeal urinary diversion at our department. • Orthotopic ileal neobladder was performed in 36 patients and ileal conduit was performed in 9 patients.
  
  
  RESULTS
  • Except in two patients that operation was converted to open surgery during the reconstruction of the orthotopic neobladder, the procedure was performed totally intracorporeal. • The operations time, estimated blood loss and length for hospital stay were decreased over the time.
  
  
  CONCLUSIONS
  • RARC with totally intracorporeal urinary diversion is feasible.
authors.affiliation: Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institute, Stockholm, Sweden. abolfazl.hosseini-aliabad@karolinska.se
authors.forename: Abolfazl
authors.initials: A
authors.lastname: Hosseini
authors.forename: Christofer
authors.initials: C
authors.lastname: Adding
authors.forename: Andreas
authors.initials: A
authors.lastname: Nilsson
authors.forename: Martin N
authors.initials: MN
authors.lastname: Jonsson
authors.forename: N Peter
authors.initials: NP
authors.lastname: Wiklund
mesh_terms: D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000379:methods; D013548:Sweden; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*