Robot-assisted intracorporeal urinary diversion: where do we stand in 2014?

Urol Clin North Am. 2014 Nov;41(4):503-9. doi: 10.1016/j.ucl.2014.07.005. Epub 2014 Sep 12.

Abstract

Radical cystectomy can only be considered as minimally invasive when both extirpative and reconstructive part of the procedure are performed with an intracorporeal approach. Robot-assisted radical cystectomy makes it possible to achieve this task, which seemed difficult with conventional laparoscopy. Intracorporeal urinary diversion (ICUD) is associated with better perioperative outcomes. Quality-of-life assessments and functional outcomes from continent ICUD are encouraging. Working in high-volumes center with mentored training can help robotic surgeons to learn the techniques of ICUD in conjunction with robot-assisted radical cystectomy. This article discusses the perioperative and functional outcomes of ICUD with a review of literature.

Keywords: Intracorporeal urinary diversion; Outcomes; Robot-assisted radical cystectomy; Robotic surgery.

Publication types

  • Review

MeSH terms

  • Cystectomy
  • Humans
  • Laparoscopy
  • Quality of Life
  • Robotic Surgical Procedures*
  • Treatment Outcome
  • Urinary Bladder / surgery*
  • Urinary Bladder Neoplasms / surgery*
  • Urinary Diversion / methods*