【摘 要】
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To investigate the clinical feasibility of totally Robot-assisted radical cystectomy (tRARC) with intracorporeal ileal conduit urinary diversion by da Vinci S system and to summarize the operative tec
【机 构】
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Department of Urology,Chinese PLA General Hospital
【出 处】
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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
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To investigate the clinical feasibility of totally Robot-assisted radical cystectomy (tRARC) with intracorporeal ileal conduit urinary diversion by da Vinci S system and to summarize the operative technique.From Oct 2013 to Mar 2012, 10 patients (7male and 3 female), aged from 55 to 81(average 65), underwent tRARC with intracorporeal ileal conduit urinary diversion.All patients were diagnosed preoperatively with muscle-invasive or high-risk non-muscle-invasive bladder urothelial carcinomas in cystoscopic biopsy.There were no adjacent organ infiltration found on preoperative examinations, pelvic lymph node metastases or distant metastasis.With da Vinci S system, a 15 cm segment of ileum 15 cm from the ileocecal junction was isolated,and ileo-ileal continuity was restored using Endo-GIA staplers.An ileal bladder was constructed.Bilateral stented ureteroileal anastomoses were individually performed to an ileal bladder.All suturing was done exclusively using robotic-assisted laparoscopic techniques and the entire procedure was completed intracorporeally.
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