Robotic cross-folded U-configuration intracorporeal ileal neobladder for muscle-invasive bladder cancer: Initial experience and functional outcomes

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
Takuya KoieYasuhiro Hashimoto

Abstract

This study compared the surgical and urinary functional outcomes in patients with muscle-invasive bladder cancer (MIBC) who underwent robot-assisted radical cystectomy (RARC) followed by intracorporeal ileal neobladder reconstruction (ICNB) to those in patients who underwent minimum incision endoscopic radical cystectomy (MIE-RC) followed by extracorporeal ileal neobladder reconstruction (ECNB). This study reviewed the clinical records of 153 consecutive MIBC patients who underwent neoadjuvant chemotherapy followed by radical cystectomy and ileal neobladder reconstruction. The operative time in the ICNB group was significantly longer than that in the ECNB group. The median estimated blood loss was significantly less in the ICNB group than in the ECNB group. The neobladder capacity gradually increased in both groups. The maximum neobladder pressure and urethral closure pressure gradually improved in both groups. Our initial experience with ICNB was favourable, with acceptable surgical and urinary functional outcomes.

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Citations

May 16, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Stavros I TyritzisNils P Wiklund
Sep 10, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Naoya Masumori, Fumimasa Fukuta
Aug 1, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuya Fujimura
Jan 29, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Takuya KoieKeita Nakane
Aug 28, 2021·Journal of Clinical Medicine·Roberto BianchiOttavio de Cobelli

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