Totally intracorporeal robot-assisted urinary diversion for bladder cancer(part 2).Review and detailed characterization of the existing intracorporeal orthotopic ileal neobladder  

作　　者：Hugo Otaola-Arca Kulthe Ramesh Seetharam Bhat Vipul R.Patel Marcio Covas Moschovas 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]Department of Robotic Surgery,AdventHealth Global Robotics Institute,Celebration,FL,USA

出　　处：《Asian Journal of Urology》2021年第1期63-80,共18页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To review the most used intracorporeal orthotopic ileal neobladder(ICONB)after radical cystectomy for bladder cancer and create a unified compendium of the different alternatives,including new consistent images.Methods:We performed a non-systematic review of the literature with the keywords“bladder cancer”,“urinary diversion”,“radical cystectomy”,and“neobladder”.Results:Forty studies were included in the analysis.The most frequent type of ICONB was the modified Studer“U”neobladder(70%)followed by the Hautmann“W”modified neobladder(7.5%),the“Y”neobladder(5%),and the Padua neobladder(5%).The operative time to perform a urinary diversion ranged from 124 to 553 min.The total estimated blood loss ranged from 200 to 900 mL.The rate of positive surgical margins ranged from 0%to 8.1%.Early minor and major complication rates ranged from 0%to 100%and from 0%to 33%,respectively.Late minor and major complication rates ranged from 0%to 70%and from 0%to 25%,respectively.Conclusion:The most frequent types of ICONB are Studer“U”neobladder,Hautmann“W”neobladder,“Y”neobladder,and the Padua neobladder.Randomized studies comparing the performance of the different types of ICONB,the performance in an intra or extracorporeal manner,or the performance of an ICONB versus ICIC are lacking in the literature.To this day,there are not sufficient quality data to determine the supremacy of one technique.This manuscript represents a compendium of the most used ICONB with detailed descriptions of the technical aspects,operative and perioperative outcomes,and new consistent images of each technique.

关 键 词：Bladder cancer Ileal orthotopic neobladder Intracorporeal urinary diversion Robot-assisted radical cystectomy Surgical technique 

分 类 号：R737.14[医药卫生—肿瘤]