title: Discussion on robot-assisted laparoscopic cystectomy and Ileal neobladder surgery preoperative care.
abstract: To investigate the clinical applications of robot-assisted radical cystectomy with orthotopic ileal neobladder (RARC-INB) and make a preliminary summary. Retrospective analysis the clinical data of 12 patients underwent robotic bladder cancer (da vinci surgical system) assisted laparoscopic cystectomy with ileal orthotopic neobladder from March 2015 to April 2015. 12 cases were successful, with no surgical intervention, and organ damage occurred. The operation time was 330~470 min, which average (390.0±61.5) min; blood loss was 90~870 ml, which average (185.0±88.3) ml. One case of intraoperative blood transfusion was 400 ml. The enjoin eating time of postoperative intestinal ventilation was 3~6 d, and the average time was (4.0±1.5) d. Removal of ureteral stents time was 14~28 d and the average time was (21±7) d. Removal of the catheter time was 18~28 d and the average time was (23±5) d. Postoperative hospital stay 19~29 d and the average time was (24±5) dRARC-INB make the surgical tends to simplify, which was conducive to surgeon intraoperative control and assurance. RARC-INB make the surgical tends to use less trauma, less bleeding, complete lymphadenectomy, quick recovery, etc. It is a safe, effective and reliablethe method in the treatment of invasive bladder cancer. So the method should be widely applied.
authors.affiliation: Collage of Urology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Daoxiu
authors.initials: D
authors.lastname: Zhang
authors.affiliation: Collage of Urology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Mingyang
authors.initials: M
authors.lastname: Su
authors.affiliation: Collage of Urology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Chunlei
authors.initials: C
authors.lastname: Liu
authors.affiliation: Collage of Urology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Huiping
authors.initials: H
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery* / Q000637:transplantation; D010535:Laparoscopy / Q000379:methods*; D008136:Longevity; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000628:therapy; D012189:Retrospective Studies; D012371:Robotics; D015607:Stents; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery