title: Evolution of robot-assisted orthotopic ileal neobladder formation: a step-by-step update to the University of Southern California (USC) technique.
abstract: OBJECTIVE
  To describe our, step-by-step, technique for robotic intracorporeal neobladder formation.
  
  
  METHODS
  The main surgical steps to forming the intracorporeal orthotopic ileal neobladder are: isolation of 65 cm of small bowel; small bowel anastomosis; bowel detubularisation; suture of the posterior wall of the neobladder; neobladder-urethral anastomosis and cross folding of the pouch; and uretero-enteral anastomosis. Improvements have been made to these steps to enhance time efficiency without compromising neobladder configuration.
  
  
  RESULTS
  Our technical improvements have resulted in an improvement in operative time from 450 to 360 min.
  
  
  CONCLUSIONS
  We describe an updated step-by-step technique of robot-assisted intracorporeal orthotopic ileal neobladder formation.
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Sameer
authors.initials: S
authors.lastname: Chopra
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Andre Luis
authors.initials: AL
authors.lastname: de Castro Abreu
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Andre K
authors.initials: AK
authors.lastname: Berger
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Shuchi
authors.initials: S
authors.lastname: Sehgal
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Inderbir
authors.initials: I
authors.lastname: Gill
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Monish
authors.initials: M
authors.lastname: Aron
authors.affiliation: USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Mihir M
authors.initials: MM
authors.lastname: Desai
mesh_terms: D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D065287:Robotic Surgical Procedures; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent
keywords: intracorporeal; orthotopic ileal neobladder; robot-assisted radical cystectomy; urinary diversion