Evolution of robot-assisted orthotopic ileal neobladder formation: a step-by-step update to the University of Southern California (USC) technique

被引：32
作者：
Chopra, Sameer [1 ]
Abreu, Andre Luis de Castro [1 ]
Berger, Andre K. [1 ]
Sehgal, Shuchi [1 ]
Gill, Inderbir [1 ]
Aron, Monish [1 ]
Desai, Mihir M. [1 ]
机构：
[1] Univ Southern Calif, Keck Sch Med, USC Inst Urol, Los Angeles, CA USA
来源：
BJU INTERNATIONAL | 2017年 / 119卷 / 01期
关键词：
robot-assisted radical cystectomy; orthotopic ileal neobladder; intracorporeal; urinary diversion; INTRACORPOREAL URINARY-DIVERSION; LYMPH-NODE DISSECTION; RADICAL CYSTECTOMY; INITIAL-EXPERIENCE; OUTCOMES; BLADDER; COSTS;
D O I：
10.1111/bju.13611
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Objective To describe our, step-by-step, technique for robotic intracorporeal neobladder formation. Patients and 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. Conclusion We describe an updated step-by-step technique of robot-assisted intracorporeal orthotopic ileal neobladder formation.
引用
收藏
页码：185 / 191
页数：7
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