Robot-assisted radical cystectomy with urinary intestinal diversion (literature review)
https://doi.org/10.17650/1726-9776-2020-16-2-135-143
Abstract
Radical cystectomy (RC) remains the main surgical treatment for patients with muscle-invasive bladder cancer. Currently, robot-assisted access is actively used along with the open one. The review analyzes the main results of robot-assisted RC and compares them with those after open RC. We evaluated the following parameters of robot-assisted RC: surgery duration, volume of blood loss, terms of patients’ hospitalization, 30- and 90-day complications. We also compared the results of extra- and intracorporeal urine diversion and found out that intracorporeal ileal conduit formation and orthotopic cystoplasty are more advantageous. Gaining experience allows us to reduce the number of postoperative complications, especially severe ones according to Clavien classification, and to improve the functional results of robot-assisted RC.
About the Authors
B. G. Gulie
I.I. Mechnikov North-West State Medical University, Ministry of Health of Russia; Urology Center with Robot-Assisted Surgery, Mariinsky Hospital
Russian Federation
Competing Interests: not
Russian Federation
Department of Urology, I.I. Mechnikov NWSMU.
41 Kirochnaya St., Saint-Petersburg 191015; 56Liteynyy Prospekt, Saint-Petersburg 191014
Competing Interests: not
R. R. Bolokotov
Urology Center with Robot-Assisted Surgery, Mariinsky Hospital
Russian Federation
Competing Interests: not
Russian Federation
56Liteynyy Prospekt, Saint-Petersburg 191014
Competing Interests: not
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For citations:
Gulie B.G., Bolokotov R.R. Robot-assisted radical cystectomy with urinary intestinal diversion (literature review). Cancer Urology. 2020;16(2):135-143. (In Russ.) https://doi.org/10.17650/1726-9776-2020-16-2-135-143
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