Totally intracorporeal robot-assisted urinary diversion for bladder cancer(Part 1).Review and detailed characterization of ileal conduit and modified Indiana pouch  

作　　者：Hugo Otaola-Arca Rafael Coelho Vipul R.Patel Marcelo Orvieto 

机构地区：[1]Department of Urology,Clı´nica Alemana,Santiago,Chile [2]School of Medicine,Clı´nica Alemana-Universidad del Desarrollo,Santiago,Chile [3]Universidade de Sa˜o Paulo Instituto do Caˆncer do Estado de Sa˜o Paulo,Brazil [4]Department of Urology,AdventHealth Global Robotics Institute,Celebration,FL,United States

出　　处：《Asian Journal of Urology》2021年第1期50-62,共13页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To review the most used robot-assisted cutaneous urinary diversion(CUD)after radical cystectomy for bladder cancer and create a unified compendium of the different alternatives,including new consistent images Methods:A non-systematic review of the literature with the keywords“bladder cancer”,“cutaneous urinary diversion”,and“radical cystectomy”was performed.Results:Twenty-four studies of intracorporeal ileal conduit(ICIC)and two of intracorporeal Indiana pouch(ICIP)were included in the analysis.Regarding ICIC,the patients’age ranged from 60 to 76 years.The operative time to perform a urinary diversion ranged from 60 to 133 min.The total estimated blood loss ranged from 200 to 1117 mL.The rate of positive surgical margins ranged from 0%to 14.3%.Early minor and major complication rates ranged from 0%to 71.4%and from 0%to 53.4%,respectively.Late minor and major complication rates ranged from 0%to 66%and from 0%to 32%,respectively.Totally ICIP data are limited to one case report and one clinical series.Conclusion:The most frequent type of CUD is ICIC.Randomized studies comparing the performance of the different types of CUD,the performance in an intra-or extracorporeal manner,or the performance of a CUD versus orthotopic ileal neobladder are lacking in the literature.To this day,there are not enough quality data to determine the supremacy of one technique.This manuscript represents a compendium of the most used CUD with detailed descriptions of the technical aspects,operative and perioperative outcomes,and new consistent images for each technique.

关 键 词：Bladder cancer Ileal conduit Indiana pouch Intracorporeal urinary diversion Robot-assisted radical cystectomy Surgical technique 

分 类 号：R737.14[医药卫生—肿瘤]