Updates on robotic intracorporeal urinary diversions Journal Article

Authors: Dason, S.; Goh, A. C.
Article Title: Updates on robotic intracorporeal urinary diversions
Abstract: Purpose of Review: More than a century of development has led to contemporary urinary diversion. It is paramount that robotic intracorporeal diversions uphold the principles defined by open surgery. Recent Findings: In this review, we discuss the fundamental open surgical principles that have led to contemporary techniques of urinary diversion. We then outline the technical aspects of several recently described robotic intracorporeal urinary diversions in the context of these surgical principles. Several potential benefits of intracorporeal urinary diversion are being investigated—such as a reduction in gastrointestinal complications, ureteral strictures, and wound complications. Finally, we highlight the important aspects of establishing an intracorporeal urinary diversion program integrated with an Enhanced Recovery after Surgery (ERAS) program. We have included the perioperative outcomes of 100 consecutive cases of intracorporeal urinary diversion with an Enhanced Recovery after Surgery (ERAS) protocol. In this series, 49% were continent diversions. Patients had a median length of stay of 5 days, with 37% staying 4 days or less. High-grade complications and readmissions were noted in 22 and 20% of patients, respectively. Summary: The benefits of intracorporeal urinary diversion appear promising, and there is continued need for high-quality randomized controlled trials to define its role in patients undergoing radical cystectomy. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Keywords: robot-assisted radical cystectomy; intracorporeal continent cutaneous diversion; intracorporeal indiana pouch; intracorporeal neobladder; intracorporeal urinary diversion
Journal Title: Current Urology Reports
Volume: 19
Issue: 5
ISSN: 1527-2737
Publisher: Springer  
Date Published: 2018-05-01
Start Page: 28
Language: English
DOI: 10.1007/s11934-018-0778-z
PROVIDER: scopus
PUBMED: 29546471
Notes: Review -- Export Date: 1 May 2018 -- Source: Scopus
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MSK Authors
  1. Shawn Dason
    3 Dason
  2. Alvin Chun chin Goh
    5 Goh