2018, Number 2
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Rev Mex Urol 2018; 78 (2)
Initial experience in intracorporeal urinary diversion after robotic-assisted laparoscopic radical cystectomy
Villeda-Sandoval CI, Almeida-Magaña R, Martínez-Salas AJ, Pacheco-Hernández MÁ, Orozco-Lara JC
Language: Spanish
References: 21
Page: 155-161
PDF size: 486.37 Kb.
ABSTRACT
Background: Robotic-assisted intracorporeal urinary diversion is a complex
procedure that has shown similar oncologic and functionalresults to those with
the open technique. It has not been widely performed
Clinic case: A retrospective review was conducted on 3 patients that
underwent radical cystectomy in our robotic surgery program within the time
frame of March and May 2017. Two intracorporeal neobladders and 1 intracorporeal
ileal conduit were formed in patients that were 49, 45, and 70 years
of age, respectively. One patient required transfusion with one unit of packed
red blood cells and another patient presented with a urinary tract infection that
required hospitalization. Surgery duration in the respective three cases was 540,
570, and 480 minutes and postoperative hospital stay was 6, 8, and 5 days.
Conclusions: In our present first case series of patients that underwent
robotic-assisted intracorporeal urinary diversion, the complications were acceptable
and oncologic and functional control was adequate, demonstrating
its feasible use in our medical environment.
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