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Robot-Assisted Intracorporeal Neobladder and Ileal Conduit Urinary Diversion: Technique, Current Status, and Outcomes

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Robotics in Genitourinary Surgery

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Abstract

Although open radical cystectomy (ORC) remains the gold standard of care for muscle-invasive bladder cancer, robot-assisted radical cystectomy (RARC) continues to gain wider acceptance. The technique of robot-assisted radical cystectomy (RARC) has evolved significantly since its inception more than 10 years ago. Several high-volume centers have reported standardized techniques with refinements and subsequent oncological and functional outcomes. We summarise published outcomes for totally intracorporeal RARC in the chapter. Totally intracorporeal RARC aims to offer the benefits of a complete minimally invasive approach while replicating the oncologic outcomes of open surgery. In this chapter, we focus on the steps of intracorporeal urinary diversion in RARC, describing our approach, which has been developed over the past 10 years. We have described the Karolinska technique for both intracorporeal ileal conduit formation and neobladder formation. Our structured approach to RARC has enabled us to develop this complex service while maintaining patient outcomes comparable with ORC series. We conclude that the refinement of techniques for RARC and urinary diversion over the past 10 years has made it safe, reproducible, and oncologically sound.

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Authors and Affiliations

  1. Department of Molecular Medicine and Surgery (MMK), Karolinska Institutet, Stockholm, Sweden

    Justin W. Collins, Abolfazl Hosseini & N. Peter Wiklund

Authors
  1. Justin W. Collins
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  2. Abolfazl Hosseini
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  3. N. Peter Wiklund
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Corresponding author

Correspondence to Justin W. Collins .

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Editors and Affiliations

  1. Department of Urology Comprehensive Cancer Center Wake Forest Institute for Regenerative Medicine Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Ashok K. Hemal

  2. Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA

    Mani Menon

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Collins, J.W., Hosseini, A., Wiklund, N.P. (2018). Robot-Assisted Intracorporeal Neobladder and Ileal Conduit Urinary Diversion: Technique, Current Status, and Outcomes. In: Hemal, A., Menon, M. (eds) Robotics in Genitourinary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20645-5_56

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  • DOI: https://doi.org/10.1007/978-3-319-20645-5_56

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20644-8

  • Online ISBN: 978-3-319-20645-5

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