Skip to main content
Top
Published in: Journal of Robotic Surgery 4/2017

01-12-2017 | Original Article

Robotic assisted laparoscopic radical cystectomy with stentless intracorporeal modified Ves.Pa neobladder: early experience

Authors: Patrick Whelan, Wei Phin Tan, Dimitri Papagiannopoulos, Philip Omotosho, Leslie Deane

Published in: Journal of Robotic Surgery | Issue 4/2017

Login to get access

Abstract

This study aimed at demonstrating the feasibility of robotic assisted laparoscopic radical cystectomy with pure intracorporeal modified Ves.Pa neobladder with stentless ureteroileal anastomosis. Pure intracorporeal robotic assisted laparoscopic technique has been recently developed with a select number of high-volume centers utilizing various operative and neobladder techniques. We reviewed the patient characteristics, operative details and perioperative courses in the two patients who have undergone robotic assisted laparoscopic radical cystectomy with pure intracorporeal modified Ves.Pa neobladder and one who has undergone the Hautmann W neobladder. These results were compared to other contemporary robotic neobladder series. We demonstrate technical success with similar operative and perioperative results with the modified Ves.Pa neobladder. The robotic pure intracorporeal modified Ves.Pa neobladder is a technically feasible operation and may be easier to perform compared to other neobladders. Initial experience suggests operative time and perioperative outcomes are similar to other robotic techniques.
Literature
1.
2.
go back to reference Parkin DM (2008) The global burden of urinary bladder cancer. Scand J Urol Nephrol Suppl 218:12–20CrossRef Parkin DM (2008) The global burden of urinary bladder cancer. Scand J Urol Nephrol Suppl 218:12–20CrossRef
3.
go back to reference Wood DP (2016) Benign and malignant tumors of the bladder. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds) Campbell–Walsh urology. Elsevier, Philadelphia, pp 2184–2204 Wood DP (2016) Benign and malignant tumors of the bladder. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds) Campbell–Walsh urology. Elsevier, Philadelphia, pp 2184–2204
4.
go back to reference Montironi R, Lopez-Beltran A (2005) The 2004 WHO classification of bladder tumors: a summary and commentary. Int J Surg Pathol 13(2):143–153CrossRefPubMed Montironi R, Lopez-Beltran A (2005) The 2004 WHO classification of bladder tumors: a summary and commentary. Int J Surg Pathol 13(2):143–153CrossRefPubMed
5.
go back to reference Advanced Bladder Cancer (ABC) Meta-analysis Collaboration (2005) Adjuvant chemotherapy in invasive bladder cancer: a systematic review and meta-analysis of individual patient data. Eur Urol 48(2):189–199 (discussion 199–201) CrossRef Advanced Bladder Cancer (ABC) Meta-analysis Collaboration (2005) Adjuvant chemotherapy in invasive bladder cancer: a systematic review and meta-analysis of individual patient data. Eur Urol 48(2):189–199 (discussion 199–201) CrossRef
6.
go back to reference Advanced Bladder Cancer (ABC) Meta-analysis Collaboration (2005) Neoadjuvant chemotherapy in invasive bladder cancer: update of a systematic review and meta-analysis of individual patient data advanced bladder cancer (ABC) meta-analysis collaboration. Eur Urol 48(2):202–205CrossRef Advanced Bladder Cancer (ABC) Meta-analysis Collaboration (2005) Neoadjuvant chemotherapy in invasive bladder cancer: update of a systematic review and meta-analysis of individual patient data advanced bladder cancer (ABC) meta-analysis collaboration. Eur Urol 48(2):202–205CrossRef
7.
8.
go back to reference Tyritzis SI, Hosseini A, Collins J et al (2013) Oncologic, functional, and complications outcomes of robot-assisted radical cystectomy with totally intracorporeal neobladder diversion. Eur Urol 64:734–741CrossRefPubMed Tyritzis SI, Hosseini A, Collins J et al (2013) Oncologic, functional, and complications outcomes of robot-assisted radical cystectomy with totally intracorporeal neobladder diversion. Eur Urol 64:734–741CrossRefPubMed
9.
go back to reference Azzouni FS, Din R, Rehman S et al (2013) The first 100 consecutive, robot-assisted, intracorporeal ileal conduits: evolution of technique and 90-day outcomes. Eur Urol 63(4):637–643CrossRefPubMed Azzouni FS, Din R, Rehman S et al (2013) The first 100 consecutive, robot-assisted, intracorporeal ileal conduits: evolution of technique and 90-day outcomes. Eur Urol 63(4):637–643CrossRefPubMed
10.
go back to reference Desai MM, de Abreu AL, Goh AC et al (2014) Robotic intracorporeal urinary diversion: technical details to improve time efficiency. J Endourol 28:1320–1327CrossRefPubMed Desai MM, de Abreu AL, Goh AC et al (2014) Robotic intracorporeal urinary diversion: technical details to improve time efficiency. J Endourol 28:1320–1327CrossRefPubMed
11.
go back to reference Ahmed K, Khan SA, Hayn MH et al (2013) Analysis of intracorporeal compared with extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the international robotic cystectomy consortium. Eur Urol 65(2):340–347CrossRefPubMed Ahmed K, Khan SA, Hayn MH et al (2013) Analysis of intracorporeal compared with extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the international robotic cystectomy consortium. Eur Urol 65(2):340–347CrossRefPubMed
12.
go back to reference Koupparis A, Villeda-Sandoval C, Weale N et al (2015) Robot-assisted radical cystectomy with intracorporeal urinary diversion: impact on an established enhanced recovery protocol. BJU Int 116(6):924–931CrossRefPubMed Koupparis A, Villeda-Sandoval C, Weale N et al (2015) Robot-assisted radical cystectomy with intracorporeal urinary diversion: impact on an established enhanced recovery protocol. BJU Int 116(6):924–931CrossRefPubMed
13.
go back to reference Schwentner C, Sim A, Balbay MD et al (2015) Robot-assisted radical cystectomy and intracorporeal neobladder formation: on the way to a standardized procedure. World J Surg Oncol 13:3CrossRefPubMedPubMedCentral Schwentner C, Sim A, Balbay MD et al (2015) Robot-assisted radical cystectomy and intracorporeal neobladder formation: on the way to a standardized procedure. World J Surg Oncol 13:3CrossRefPubMedPubMedCentral
14.
go back to reference Collins JW, Sooriakumaran P, Sanchez-Salas R et al (2014) Robot-assisted radical cystectomy with intracorporeal neobladder diversion: the Karolinska experience. Ind J Urol 30:307–313CrossRef Collins JW, Sooriakumaran P, Sanchez-Salas R et al (2014) Robot-assisted radical cystectomy with intracorporeal neobladder diversion: the Karolinska experience. Ind J Urol 30:307–313CrossRef
15.
go back to reference Desai MM, Gill IS, de Castro Abreu AL et al (2014) Robotic intracorporeal orthotopic neobladder during radical cystectomy in 132 patients. J Urol 192:1734–1740CrossRefPubMed Desai MM, Gill IS, de Castro Abreu AL et al (2014) Robotic intracorporeal orthotopic neobladder during radical cystectomy in 132 patients. J Urol 192:1734–1740CrossRefPubMed
16.
go back to reference Richstone L, Scherr D (2016) Robotic and laparoscopic bladder surgery. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds) Campbell-Walsh urology. Elsevier, Philadelphia, pp 2254–2280 Richstone L, Scherr D (2016) Robotic and laparoscopic bladder surgery. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds) Campbell-Walsh urology. Elsevier, Philadelphia, pp 2254–2280
17.
go back to reference Dal Moro F, Zattoni F (2016) Ves.Pa.—designing a novel robotic intracorporeal orthotopic ileal neobladder. Urology 91:99–103CrossRef Dal Moro F, Zattoni F (2016) Ves.Pa.—designing a novel robotic intracorporeal orthotopic ileal neobladder. Urology 91:99–103CrossRef
18.
go back to reference Tan WS, Sridhar A, Goldstraw M et al (2015) Robot-assisted intracorporeal pyramid neobladder. BJU Int 116:771–779CrossRefPubMed Tan WS, Sridhar A, Goldstraw M et al (2015) Robot-assisted intracorporeal pyramid neobladder. BJU Int 116:771–779CrossRefPubMed
19.
go back to reference Goh AC, Gill IS, Lee DJ et al (2012) Robotic intracorporeal orthotopic ileal neobladder: replicating open surgical principles. Eur Urol 62:891–901CrossRefPubMed Goh AC, Gill IS, Lee DJ et al (2012) Robotic intracorporeal orthotopic ileal neobladder: replicating open surgical principles. Eur Urol 62:891–901CrossRefPubMed
20.
go back to reference Canda AE, Atmaca AF, Altinova S et al (2012) Robot-assisted nerve-sparing radical cystectomy with bilateral extended pelvic lymph node dissection (PLND) and intracorporeal urinary diversion for bladder cancer: initial experience in 27 cases. BJU Int 110:434–444CrossRefPubMed Canda AE, Atmaca AF, Altinova S et al (2012) Robot-assisted nerve-sparing radical cystectomy with bilateral extended pelvic lymph node dissection (PLND) and intracorporeal urinary diversion for bladder cancer: initial experience in 27 cases. BJU Int 110:434–444CrossRefPubMed
21.
go back to reference Pruthi RS, Nix J, McRackan D et al (2010) Robotic-assisted laparoscopic intracorporeal urinary diversion. Eur Urol 57:1013–1021CrossRefPubMed Pruthi RS, Nix J, McRackan D et al (2010) Robotic-assisted laparoscopic intracorporeal urinary diversion. Eur Urol 57:1013–1021CrossRefPubMed
22.
go back to reference Butt ZA, Forbes E, Zorn J, Martin BS (2015) Robotic radical cystectomy with intracorporeal neobladder: initial experience and outcomes. Can Urol Assoc J 9:E156–E159CrossRefPubMedPubMedCentral Butt ZA, Forbes E, Zorn J, Martin BS (2015) Robotic radical cystectomy with intracorporeal neobladder: initial experience and outcomes. Can Urol Assoc J 9:E156–E159CrossRefPubMedPubMedCentral
23.
go back to reference Sim A, Todenhofer T, Mischinger J et al (2015) Y pouch neobladder—a simplified method of intracorporeal neobladder after robotic cystectomy. J Endourol 29:387–389CrossRefPubMed Sim A, Todenhofer T, Mischinger J et al (2015) Y pouch neobladder—a simplified method of intracorporeal neobladder after robotic cystectomy. J Endourol 29:387–389CrossRefPubMed
Metadata
Title
Robotic assisted laparoscopic radical cystectomy with stentless intracorporeal modified Ves.Pa neobladder: early experience
Authors
Patrick Whelan
Wei Phin Tan
Dimitri Papagiannopoulos
Philip Omotosho
Leslie Deane
Publication date
01-12-2017
Publisher
Springer London
Published in
Journal of Robotic Surgery / Issue 4/2017
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-017-0673-5

Other articles of this Issue 4/2017

Journal of Robotic Surgery 4/2017 Go to the issue