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

Abstract:

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.

journal_name

BJU Int

journal_title

BJU international

authors

Chopra S,de Castro Abreu AL,Berger AK,Sehgal S,Gill I,Aron M,Desai MM

doi

10.1111/bju.13611

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

185-191

issue

1

eissn

1464-4096

issn

1464-410X

journal_volume

119

pub_type

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