title: Robotic intracorporeal urinary diversion: practical review of current surgical techniques.
abstract: In this practical review, we discuss current surgical techniques reported in the literature to perform intracorporeal urinary diversion (ICUD) after robotic radical cystectomy (RARC), emphasizing criticisms of single approaches and making comparisons with extracorporeal urinary diversion (ECUD). Although almost 97% of all RARCs use an ECUD, ICUD is gaining in popularity, in view of its potential benefits (i.e., decreased bowel exposure, etc.), although there are a few studies comparing ICUD and ECUD. Analyzing single experiences and the data from recent metanalyses, we emphasize the current critiques to ICUD, stressing particular technical details which could reduce operative time, lowering the postoperative complications rate, and improving functional outcomes. Only analysis of long-term follow-up data from large-scale homogeneous series can ascertain whether robotic intracorporeal urinary diversion is superior to other approaches.
authors.affiliation: University of Padua, Padua, Italy - fabrizio.dalmoro@unipd.it.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Dal Moro
authors.affiliation: Glickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Georges P
authors.initials: GP
authors.lastname: Haber
authors.affiliation: Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Wiklund
authors.affiliation: Department of Urology, Yildirim Beyazit University, School of Medicine, Ankara Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Abdullah E
authors.initials: AE
authors.lastname: Canda
authors.affiliation: Department of Urology, Memorial Şişli Hospital, Istanbul, Turkey.
authors.forename: Mevlana D
authors.initials: MD
authors.lastname: Balbay
authors.affiliation: Department of Urology, Eberhard-Karls University Tuebingen, Germany.
authors.forename: Arnulf
authors.initials: A
authors.lastname: Stenzl
authors.affiliation: University of Padua, Padua, Italy.
authors.forename: Filiberto
authors.initials: F
authors.lastname: Zattoni
authors.affiliation: Fundació Puigvert, Barcelona, Spain.
authors.forename: Joan
authors.initials: J
authors.lastname: Palou
authors.affiliation: Institute of Urology, Keck School of Medicine, USC, Los Angeles, CA, USA.
authors.forename: Inderbir
authors.initials: I
authors.lastname: Gill
authors.affiliation: University of Sheffield, Sheffield, UK.
authors.forename: James W
authors.initials: JW
authors.lastname: Catto
mesh_terms: D015653:Cystectomy; D006801:Humans; D065287:Robotic Surgical Procedures; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*