AI Article Synopsis
- The study assesses the safety and feasibility of the Florence robotic intracorporeal neobladder technique during laparoscopic radical cystectomy in patients with muscle-invasive bladder cancer.
- All surgeries were completed successfully with a median operative time of 343 minutes, no intraoperative complications, and a hospital stay averaging 7 days, demonstrating effective short-term outcomes.
- While some patients experienced minor complications, the overall results indicate that this technique is promising, but further large-scale prospective studies are needed to confirm long-term effectiveness.
Article Abstract
Objective: To evaluate retrospectively the feasibility of Florence robotic intracorporeal neobladder technique in laparoscopic radical cystectomy.
Methods: Fourteen patients with muscle-invasive bladder cancer underwent laparoscopic radical cystectomy and Florence robotic intracorporeal neobladder between September 2021 and February 2023. Patients' characteristics, pathology data, perioperative outcomes, postoperative complications, and follow-up data were collected.
Results: All operations were successfully completed laparoscopically. The median total operative time was 343 minutes, and the median estimated blood loss was 169.5 mL. No intraoperative complications were observed. The median hospitalization time was 7days, while the median time to regular diet was 3days. Clavien Dindo Grade < III complications appeared in five patients within 30days postoperation. No other complications were noted over the 90days follow-up. Organ-confined disease was confirmed in 11 patients and locally advanced disease in three patients. At 3months follow-up, eight and four patients were daytime and night-time continent, respectively.
Conclusion: Replicating Florence robotic intracorporeal neobladder in laparoscopic radical cystectomy is safe, feasible, and repeatable, based on the encouraging perioperative, oncological, and functional outcomes of our study. However, further prospective studies on a larger scale are required to prove its long-term results.
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| http://dx.doi.org/10.1016/j.urology.2023.11.002 | DOI Listing |
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