Robot Assisted Intracorporeal Pyramid Neo-bladder (original) (raw)

BJU international, 2015

Abstract

To describe the a robotic assisted intracorporeal Pyramid neo-bladder (NB) reconstruction technique and report operative and peri-operative metrics, post-operative upper tract imaging, neo-bladder functional outcomes and oncological outcomes. A total of 19 male and 1 female patients with a mean age 57.2±12.4 years (range: 31.0-78.2 years) underwent robotic assisted radical cystectomy (RARC). Most cases were ≤pT1 (n=17), while the remaining three patients had muscle invasive bladder cancer (MIBC) at RARC histopathology although 50% (n=10) actually had MIBC at transurethral resection histopathology. All patients underwent RARC, bilateral pelvic lymphadenectomy and intracorporeal NB formation using a pyramid detubularised folding pouch configuration. Median estimated blood loss was 250 ml and median operating time was 5.5 hours. The mean number of lymph nodes removed was 16.5±7.8 and median hospital stay was 10 days. Early postoperative complications include urinary tract infection (UT...

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