title: Robot-assisted intracorporeal formation of the ileal neobladder.
abstract: We are celebrating the 10th anniversary of robot-assisted laparoscopic radical cystectomy (RARC) with urinary diversion (UD), and it seems that this operation is successfully following the footsteps of robot-assisted laparoscopic radical prostatectomy. Until now, approximately 1000 RARCs have been recorded; of them, only 102 were performed totally intracorporeally with a formation of an ileal neobladder. Despite the small numbers, morbidity and functional outcomes seem to be acceptable, when compared with the gold standard-the open procedure. It is imperative that in a challenging procedure such as this, the console surgeon follow a standardized protocol of all surgical steps to ensure the optimal results. In this article, we are sharing Karolinska's experience and discuss all perioperative issues along with ways of dealing with tricky cases.
authors.affiliation: Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. styritzis@gmail.com
authors.forename: Stavros I
authors.initials: SI
authors.lastname: Tyritzis
authors.forename: Abolfazl
authors.initials: A
authors.lastname: Hosseini
authors.forename: Martin
authors.initials: M
authors.lastname: Jonsson
authors.forename: Christofer
authors.initials: C
authors.lastname: Adding
authors.forename: Andreas
authors.initials: A
authors.lastname: Nilsson
authors.forename: N Peter
authors.initials: NP
authors.lastname: Wiklund
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology; D010535:Laparoscopy; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012371:Robotics; D015607:Stents; D013525:Surgical Instruments; D017792:Surgical Stapling; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*