Objective: To describe our, step-by-step, technique for robotic intracorporeal neobladder formation.
Patients And Methods: The main surgical steps to forming the intracorporeal orthotopic ileal neobladder are: isolation of 65 cm of small bowel; small bowel anastomosis; bowel detubularisation; suture of the posterior wall of the neobladder; neobladder-urethral anastomosis and cross folding of the pouch; and uretero-enteral anastomosis. Improvements have been made to these steps to enhance time efficiency without compromising neobladder configuration.
Results: Our technical improvements have resulted in an improvement in operative time from 450 to 360 min.
Conclusion: We describe an updated step-by-step technique of robot-assisted intracorporeal orthotopic ileal neobladder formation.
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| http://dx.doi.org/10.1111/bju.13611 | DOI Listing |
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Article Synopsis
- The study looked at whether not using ureteral stents during certain surgeries leads to more problems afterward.
- They checked records of 68 patients who had surgery and split them into two groups: one group had stents, and the other didn’t.
- Results showed that not using stents didn’t cause more complications like leaks or blockages, but more studies are needed to be sure.
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