Contemporary techniques and outcomes of robotic cystectomy and intracorporeal urinary diversions Journal Article

Authors: Dason, S.; Goh, A. C.
Article Title: Contemporary techniques and outcomes of robotic cystectomy and intracorporeal urinary diversions
Abstract: Purpose of review Robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) is being increasingly performed worldwide. This review summarizes recent technical developments and outcome data for RARC with ICUD. Recent findings With the recent description of intracorporeal continent cutaneous diversion, all classes of urinary diversion can presently be performed totally intracorporeally. The summary of our seven cases of intracorporeal continent cutaneous diversion in this article brings the number of reported cases in the literature to 17. Additional recent advancements in ICUD focus on novel technical descriptions and outcome data. Several intracorporeal orthotopic ileal neobladder techniques have been described with intermediate perioperative outcomes. There is some rationale for reduced overall, wound, gastrointestinal and genitourinary complications with ICUD. Summary RARC with intracorporeal diversion is a feasible option for patients with bladder cancer. Prospective and randomized outcome data are needed to better characterize the benefit of ICUD in patients following radical cystectomy. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: cancer survival; review; cancer patient; lymph node dissection; gastrointestinal symptom; motivation; bladder cancer; postoperative complication; cystectomy; recurrent disease; wound complication; surgical margin; clinical outcome; learning curve; robot assisted radical cystectomy; operative blood loss; human; priority journal; robot-assisted radical cystectomy; robot assisted surgery; intracorporeal continent cutaneous diversion; intracorporeal indiana pouch; intracorporeal neobladder; intracorporeal urinary diversion
Journal Title: Current Opinion in Urology
Volume: 28
Issue: 2
ISSN: 0963-0643
Publisher: Lippincott Williams & Wilkins  
Date Published: 2018-03-01
Start Page: 115
End Page: 122
Language: English
DOI: 10.1097/mou.0000000000000472
PROVIDER: scopus
PUBMED: 29256905
Notes: Review -- Export Date: 2 April 2018 -- Source: Scopus
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MSK Authors
  1. Shawn Dason
    3 Dason
  2. Alvin Chun chin Goh
    5 Goh