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Fully ambulatory robotic single anastomosis duodeno-ileal bypass (SADI): 40 consecutive patients in a single tertiary bariatric center.
BMC Surg
July 2024
Department of bariatric, robotic and minimally invasive surgery, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest Montréal, Québec, H4J 1C5, Canada.
Background: Single Anastomosis Duodeno-Ileal bypass (SADI) is becoming a key option as a revision procedure after laparoscopic sleeve gastrectomy (LSG). However, its safety as an ambulatory procedure (length of stay < 12 h) has not been widely described.
Methods: A prospective bariatric study of 40 patients undergoing SADI robotic surgery after LSG with same day discharge (SDD), was undertaken in April 2021.
Article Synopsis
- Robot-assisted radical cystectomy (RARC) is increasingly being recognized as a viable alternative to open radical cystectomy (ORC) due to its complexity and evolving techniques associated with neobladder creation.
- In a study comparing the two procedures, RARC had longer surgery times but significantly less blood loss and a lower blood transfusion rate compared to ORC, indicating a potentially safer approach.
- Although RARC showed a slightly lower complication rate at 30 and 90 days post-surgery, one patient did experience a severe complication leading to death, highlighting that while RARC has benefits, it also carries risks.
Comparative performance of the different orthotopic urinary diversions.
Curr Opin Urol
September 2022
Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Purpose Of Review: Majority of patients undergoing radical cystectomy are suitable for orthotopic urinary diversion. The effect of different techniques of neobladder reconstruction on early and long-term postoperative complications is still being determined. Additionally, it is unclear which type of neobladder provides the best patient satisfaction.
View Article and Find Full Text PDFA Modified Neobladder Technique: The "I-Pouch" - Illustration of Surgical Approach and Tricks.
Urology
January 2021
Department of Urology, Eberhard-Karls-University Tübingen, Tübingen, Germany. Electronic address:
Objective: Various techniques for orthotopic neobladder (ONB) are currently used and have shown satisfactory oncological and functional outcomes. Among the relevant oncological and functional aspects for long-term follow up is the easy accessibility of the upper urinary tract in urinary diversion for endoscopic monitoring. In addition, variety exists in the amount of ileum needed to create a urinary reservoir.
View Article and Find Full Text PDFTotally intracorporeal 3D laparoscopic orthotopic neobladder reconstruction following radical cystectomy for infiltrative bladder tumors: the experience of modified Studer and modified Y-shaped ileal reconstruction techniques.
J BUON
January 2021
Department of Urology, Satu Mare County Hospital, Satu Mare, Romania.
Purpose: We report our experience with 23 cases in utilizing ileum to perform totally intracorporeal 3D laparoscopic neobladder reconstruction using two different surgical techniques.
Methods: Patients candidates for reconstructive surgery were in a good biological status with a body mass index (BMI) in the range of 18.5-25 and presented a muscle-infiltrative bladder tumor with negative nodal frozen sections performed during the operation.
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