V22 Robot-assisted intracorporeal ileal conduit urinary diversion

2012 ◽  
Vol 11 (1) ◽  
pp. eV22-eV22a
Author(s):  
J. Sammon ◽  
J. Jhaveri ◽  
S. Sukumar ◽  
C. Fitzgerald ◽  
M. Ehlert ◽  
...  
Keyword(s):  
Urinary Diversion ◽  
Ileal Conduit ◽  
Robot Assisted

Robot-assisted cystectomy and ileal conduit for neurogenic bladder : comparison of extracorporeal vs intracorporeal urinary diversion

2021 ◽  
Author(s):  
Clément Mazouin ◽  
Jacques Hubert ◽  
Thibault Tricard ◽  
pierre lecoanet ◽  
Camille Haudebert ◽  
...  
Keyword(s):  
Urinary Diversion ◽  
Neurogenic Bladder ◽  
Ileal Conduit ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

Robot-Assisted Intracorporeal Ileal Conduit Urinary Diversion

2018 ◽  
pp. 755-763
Author(s):  
Ahmed Aly Hussein ◽  
Youssef E. Ahmed ◽  
Khurshid A. Guru
Keyword(s):  
Urinary Diversion ◽  
Ileal Conduit ◽  
Robot Assisted

Feasibility of robot-assisted totally intracorporeal laparoscopic ileal conduit urinary diversion: initial results of a single institutional pilot study

Urology ◽  
2004 ◽  
Vol 63 (1) ◽  
pp. 51-55 ◽  
Author(s):  
K.C. Balaji ◽  
Paulos Yohannes ◽  
Corrigan L. McBride ◽  
Dmitry Oleynikov ◽  
George P. Hemstreet
Keyword(s):  
Pilot Study ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Robot Assisted ◽  
Initial Results

Comparative Analysis of Laparoscopic and Robot-Assisted Radical Cystectomy with Ileal Conduit Urinary Diversion

2007 ◽  
Vol 21 (12) ◽  
pp. 1473-1480 ◽  
Author(s):  
Jose Benito A. Abraham ◽  
Jennifer L. Young ◽  
Geoffrey N. Box ◽  
Hak J. Lee ◽  
Leslie A. Deane ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Robot Assisted

Robot-assisted cystectomy and ileal conduit for neurogenic bladder: Comparison of extracorporeal vs intracorporeal urinary diversion

2021 ◽  
Vol 79 ◽  
pp. S39-S41
Author(s):  
C. Mazouin ◽  
J. Hubert ◽  
T. Tricard ◽  
P. Lecoanet ◽  
C. Haudebert ◽  
...  
Keyword(s):  
Urinary Diversion ◽  
Neurogenic Bladder ◽  
Ileal Conduit ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

scholarly journals The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men

2021 ◽  
Author(s):  
Yutaro Sasaki ◽  
Masayuki Takahashi ◽  
Kyotaro Fukuta ◽  
Keito Shiozaki ◽  
Kei Daizumoto ◽  
...  
Keyword(s):  
Urinary Diversion ◽  
Surgical Outcomes ◽  
Ileal Conduit ◽  
Abdominal Cavity ◽  
Surgical Techniques ◽  
Distal Portion ◽  
Robot Assisted ◽  
Stoma Creation ◽  
Stay Suture ◽  
Patient Side

AbstractThe influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased.

scholarly journals Simultaneous laparoscopic nephroureterectomy and robot-assisted anterior pelvic exenteration with intracorporeal ileal conduit urinary diversion: step-by-step video-illustrated technique

2021 ◽  
Vol 47 (5) ◽  
pp. 1072-1073
Author(s):  
Éder Silveira Brazão Júnior ◽  
Daniel Gomes Coser ◽  
Rafael Ribeiro Meduna ◽  
Walter Henriques da Costa ◽  
Stênio de Cássio Zequi
Keyword(s):  
Urinary Diversion ◽  
Pelvic Exenteration ◽  
Ileal Conduit ◽  
Robot Assisted ◽  
Laparoscopic Nephroureterectomy

scholarly journals Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report

2021 ◽  
Vol 14 (3) ◽  
pp. 1460-1465
Author(s):  
Shugo Yajima ◽  
Yasukazu Nakanishi ◽  
Shunya Matsumoto ◽  
Naoya Ookubo ◽  
Kenji Tanabe ◽  
...  
Keyword(s):  
Metabolic Acidosis ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Large Diameter ◽  
Chloride Ions ◽  
Fluid Replacement ◽  
Robot Assisted ◽  
Radical Cystoprostatectomy ◽  
Hyperchloremic Metabolic Acidosis ◽  
Hyperglycemic Hyperosmolar Syndrome

Hyperchloremic metabolic acidosis can be a problem in urinary diversion using the ileum. A 73-year-old Japanese male was hospitalized in emergency due to anorexia and malaise 3 weeks after being discharged from the hospital after getting robot-assisted radical cystoprostatectomy and intracorporeal ileal conduit urinary diversion. The blood analysis revealed metabolic acidosis, elevated chloride ions, and marked hyperglycemia: he was diagnosed with hyperchloremic metabolic acidosis and hyperglycemic hyperosmolar syndrome. We started administering insulin and large amounts of fluid replacement; besides, we inserted a large-diameter open tip catheter into the ileal conduit in hopes of inhibiting urine reabsorption in the intestinal mucosa. His general condition gradually improved, and he was discharged 10 days after his hospitalization.

scholarly journals The perioperative outcomes of robot-assisted radical cystectomy with intracorporeal urinary diversion compared with laparoscopic radical cystectomy with extracorporeal urinary diversion at a single institution.

2021 ◽  
Author(s):  
Atsuto Suzuki ◽  
Kentaro Muraoka ◽  
Tomoyuki Tatenuma ◽  
Kimito Osaka ◽  
Yumiko Yokomizo ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Oral Intake ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Median Number ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

Abstract Background The number of facilities adapting intracorporeal urinary diversion (ICUD) using robots instead of extracorporeal urinary diversion (ECUD) is increasing, but the clinical evidence is limited. Methods We retrospectively analyzed 26 consecutive patients who underwent ICUD with an ileal conduit following robot-assisted radical cystectomy (RARC) between 2018 and 2020 (RARC + ICUD group), and compared them with 26 consecutive patients who underwent ECUD with an ileal conduit following laparoscopic radical cystectomy (LRC) between 2012 and 2019 (LRC + ECUD group) at Yokohama City University. Results In both groups, the patient background was similar except for age and neoadjuvant chemotherapy. In the RARC + ICUD group vs. the LRC + ECUD group, the median total operation time was 516 min vs. 532.5 min (p = 0.217), the time to cystectomy was 163 min vs. 194.5 min (p = 0.007), and the time of urinary diversion with an ileal conduit was 161 min vs. 201.5 min (p < 0.001). The postoperative maximum value of C-reactive protein was 6.98 mg/L vs. 12.46 mg/L (p = 0.001). The median number of days to oral intake was 3 days vs. 5 days (p = 0.003). The median length of hospital stay was 17 days vs. 32 days (p < 0.001). The postoperative complication rate (within 90 days) was 23.1% vs. 42.3% (p = 0.237). Clavien-Dindo classification ≥ 3 was noted in 1 vs. 4 patients (p = 0.350). The median number of dissected lymph nodes was 20 vs. 15 (p = 0.008). Conclusions RARC + ICUD was superior to LRC + ECUD in terms of time to cystectomy and ileal conduit urinary diversion, invasiveness, and lymph node dissection. We consider ICUD with an ileal conduit following RARC to be the more advantageous procedure.

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