Abstract | OBJECTIVES: To present our technique and initial experience with patients who underwent robot-assisted intracorporeal creation of ileal conduit and to compare them with patients who underwent extracorporeal ileal diversion after robot-assisted radical cystectomy. METHODS: RESULTS: The intracorporeal group (IC) included 2 female and 11 male patients (mean age 71 years). The extracorporeal group (EC) included 4 female and 9 male patients (mean age 66 years). No significant differences were noted between the groups in terms of patient age, BMI, sex, prior surgery, or pathologic stage. Overall operative time and intraoperative complications were similar. No significant differences were noted between the 2 groups in terms of diversion time or estimated blood loss. There were 4 complications recorded in IC patients, including nonspecific colitis, small bowel obstruction requiring exploratory laparotomy with lysis of adhesions, a urine leak that eventually resolved but required a temporary nephrostomy tube, and a fever of unknown origin that resolved without intervention. CONCLUSIONS:
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Authors | Khurshid Guru, Stéfanie A Seixas-Mikelus, Abid Hussain, Aaron J Blumenfeld, John Nyquist, Rameela Chandrasekhar, Gregory E Wilding |
Journal | Urology
(Urology)
Vol. 76
Issue 4
Pg. 866-71
(Oct 2010)
ISSN: 1527-9995 [Electronic] United States |
PMID | 20451963
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Copyright | Copyright © 2010 Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Aged, 80 and over
- Anastomosis, Surgical
(methods)
- Carcinoma, Transitional Cell
(surgery)
- Cystectomy
(methods)
- Female
- Humans
- Ileum
(surgery)
- Lymph Node Excision
- Male
- Middle Aged
- Pelvis
- Retrospective Studies
- Robotics
(methods)
- Stents
- Suture Techniques
- Treatment Outcome
- Urinary Bladder Neoplasms
(surgery)
- Urinary Diversion
(instrumentation, methods)
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