Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press100010.17650/1726-9776-2020-16-2-135-143REVIEWОБЗОРRobot-assisted radical cystectomy with urinary intestinal diversion (literature review)Робот-ассистированная радикальная цистэктомия с кишечной деривацией мочи (обзор литературы)https://orcid.org/0000-0002-2359-6973GulieB. G.ГулиевБ. Г.
Russian Federation

Department of Urology, I.I. Mechnikov NWSMU.

41 Kirochnaya St., Saint-Petersburg 191015; 56Liteynyy Prospekt, Saint-Petersburg 191014

Бахман Гидаятович Гулиев - профессор кафедры урологии СЗГМУ имени Мечникова, руководитель центра урологии с робот-ассистированной хирургией.

191015 Санкт-Петербург, ул. Кирочная, 41; 191014 Санкт-Петербург, Литейный проспект, 56

gulievbg@mail.ruhttps://orcid.org/0000-0002-2184-5809BolokotovR. R.БолотоковР. Р.
Russian Federation

56Liteynyy Prospekt, Saint-Petersburg 191014

Рустам Р. Болотоков – врач.

191014 Санкт-Петербург, Литейный проспект, 56

rbolotokovadiga07@rambler.ruI.I. Mechnikov North-West State Medical University, Ministry of Health of RussiaФГБОУВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииUrology Center with Robot-Assisted Surgery, Mariinsky HospitalЦентр урологии с робот-ассистированной хирургией СПб ГБУЗ Городская Мариинская больницаUrology Center with Robot-Assisted Surgery, Mariinsky HospitalЦентр урологии с робот-ассистированной хирургией, СПб ГБУЗ Городская Мариинская больница300620201621351430611201923052020https://oncourology.abvpress.ru/oncur/article/view/1000

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.

Радикальная цистэктомия (РЦ) остается основным методом оперативного лечения больных мышечно-инвазивным раком мочевого пузыря. В настоящее время при РЦ наряду с открытым активно используется робот-ассистированный доступ. В данном обзоре проведены анализ основных результатов робот-ассистированной РЦ и их сравнение с таковыми после открытой РЦ. Оценены такие параметры робот-ассистированной РЦ, как длительность операции, объем кровопотери, сроки госпитализации больных, 30- и 90-дневные осложнения. Проведен сравнительный анализ результатов экстра- и интракорпоральной деривации мочи, установлены преимущества интракорпорального формирования илеального кондуита и ортотопической цистопластики. Дальнейшее накопление опыта позволяет снизить количество послеоперационных осложнений, особенно высокой степени тяжести по классификации Clavien, и улучшить функциональные результаты робот-ассистированной РЦ.

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