Robotic Intracorporeal Padua Ileal Bladder: Surgical Technique, Perioperative, Oncologic and Functional Outcomes

Simone, Giuseppe; Papalia, Rocco; Misuraca, Leonardo; Tuderti, Gabriele; Minisola, Francesco; Ferriero, Mariaconsiglia; Vallati, Giulio; Guaglianone, Salvatore; Gallucci, Michele

doi:10.1016/j.eururo.2016.10.018

Cited by 87 publications

(56 citation statements)

References 30 publications

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“…28 Simone et al reported 1-year daytime and night-time continence rates of 73.3% and 55.5%, respectively. 29 In the ICNB group, daytime and night-time continence rates at 12 months were 93.4% and 93.4%, respectively. In addition, 10% of the patients required CIC.…”

Section: Discussionmentioning

confidence: 84%

Robotic cross-folded U-configuration intracorporeal ileal neobladder for muscle-invasive bladder cancer: Initial experience and functional outcomes

Koie

Οhyama

Yoneyama

et al. 2018

Int J Med Robotics Comput Assist Surg

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BackgroundThis study compared the surgical and urinary functional outcomes in patients with muscle‐invasive bladder cancer (MIBC) who underwent robot‐assisted radical cystectomy (RARC) followed by intracorporeal ileal neobladder reconstruction (ICNB) to those in patients who underwent minimum incision endoscopic radical cystectomy (MIE‐RC) followed by extracorporeal ileal neobladder reconstruction (ECNB).Materials and MethodsThis study reviewed the clinical records of 153 consecutive MIBC patients who underwent neoadjuvant chemotherapy followed by radical cystectomy and ileal neobladder reconstruction.ResultsThe operative time in the ICNB group was significantly longer than that in the ECNB group. The median estimated blood loss was significantly less in the ICNB group than in the ECNB group. The neobladder capacity gradually increased in both groups. The maximum neobladder pressure and urethral closure pressure gradually improved in both groups.ConclusionOur initial experience with ICNB was favourable, with acceptable surgical and urinary functional outcomes.

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Section: Discussionmentioning

confidence: 84%

Robotic cross-folded U-configuration intracorporeal ileal neobladder for muscle-invasive bladder cancer: Initial experience and functional outcomes

Koie

Οhyama

Yoneyama

et al. 2018

Int J Med Robotics Comput Assist Surg

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“…There were no major perioperative complications related with ICUD, such as visceral organ injuries, intestinal anastomotic fistula and ureteroileal anastomotic urine leakage. This finding supports the concept that the ICUD technique does not increase perioperative complications . In our study, one patient developed local recurrence in the posterior urethra, one developed bilateral inguinal lymphatic metastases and another had hydronephrosis of the right kidney without any symptoms.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy with intracorporeal ileal conduit diversion: Modified techniques and long‐term outcomes

Pan

Liu

et al. 2018

Surgical Practice

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Aim:The aim of the present study was to assess the efficacy and long-term outcomes of laparoscopic radical cystectomy (LRC) with ileal conduit urinary diversion for organ-confined bladder carcinoma, undertaken intracorporeally using our modified techniques. Patients and Methods: Seven male patients underwent LRC with intracorporeal ileal conduit diversion only using pure laparoscopic techniques. Results: All procedures were completed without open conversion or intraoperative complications. The surgical margins of the specimens were negative in all patients. The mean duration of surgery was 7 h (range: 6-8.5), the mean blood loss was 420 mL (range: 330-750) and the mean postoperative hospital stay was 9 days (range: 7-15). At a mean follow up of 44 months (range: 36-49), one patient developed intestinal obstruction requiring an operation after 32 months. Another developed local oncological recurrence in the posterior urethra. One patient had bilateral inguinal lymphatic metastases, and another had hydronephrosis of the right kidney without symptoms. These complications and oncological recurrences were all found after 2 years. No patient has port site metastases and distant metastases to date. Conclusions: LRC with ileal conduit diversion undertaken completely intracorporeally is a safe and feasible option for organ-confined bladder carcinoma. Our modified techniques are helpful to simplify the procedure.

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“…36,37 On review of the literature, we identified 10 studies with RARC followed by ICUD (Table 2). 13,14,26,[38][39][40][41][42][43][44] The IRCC study retrospectively compared the perioperative outcomes in 935 patients undergoing ICUD (n = 167) and ECUD (n = 768) followed by RARC. 37 Although there were no statistically significant differences in the 90-day complication rates, the ICUD group tended to have fewer overall complications (P = 0.059), significantly fewer gastrointestinal complications (P < 0.001) and lower transfusion rates (P = 0.02).…”

Section: Icud After Rarcmentioning

confidence: 99%

“…12 The adoption of ICNB has hitherto been limited to high-volume academic institutions, and several surgical techniques for ICNB have been reported with promising functional outcomes. 4,[13][14][15][16][17][18] In the present review, we compare the totally intracorporeal RARC approach with ORC and RARC + ECUD in MIBC patients, focusing on perioperative morbidities and oncological outcomes.…”

Section: Introductionmentioning

confidence: 99%

Utility of robot‐assisted radical cystectomy with intracorporeal urinary diversion for muscle‐invasive bladder cancer

et al. 2019

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Radical cystectomy remains the gold standard for treatment of muscle‐invasive bladder cancer. Robot‐assisted radical cystectomy has technical advantages over laparoscopic radical cystectomy and has emerged as an alternative to open radical cystectomy. Despite the advancements in robotic surgery, experience with total intracorporeal reconstruction of urinary diversion remains limited. Most surgeons have carried out the hybrid approach of robot‐assisted radical cystectomy and extracorporeal reconstruction of urinary diversion, as intracorporeal reconstruction of urinary diversion remains technically challenging. However, intracorporeal reconstruction of urinary diversion might potentially proffer additional benefits, such as decreased fluid loss, reduction in estimated blood loss and a quicker return of bowel function. The adoption of intracorporeal ileal neobladder reconstruction has hitherto been limited to high‐volume academic institutions. In the present review, we compare the totally intracorporeal robot‐assisted radical cystectomy approach with open radical cystectomy and robot‐assisted radical cystectomy + extracorporeal reconstruction of urinary diversion in muscle‐invasive bladder cancer patients.

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Robotic Intracorporeal Padua Ileal Bladder: Surgical Technique, Perioperative, Oncologic and Functional Outcomes

Cited by 87 publications

References 30 publications

Robotic cross-folded U-configuration intracorporeal ileal neobladder for muscle-invasive bladder cancer: Initial experience and functional outcomes

Robotic cross-folded U-configuration intracorporeal ileal neobladder for muscle-invasive bladder cancer: Initial experience and functional outcomes

Laparoscopic radical cystectomy with intracorporeal ileal conduit diversion: Modified techniques and long‐term outcomes

Utility of robot‐assisted radical cystectomy with intracorporeal urinary diversion for muscle‐invasive bladder cancer

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