Robot‐assisted approach to ‘W’‐configuration urinary diversion: a step‐by‐step technique

• DOI: 10.1111/bju.13824
• Publication Date: 2017-02-21T16:49:57Z
• Authors: Ahmed A. Hussein; Youssef E. Ahmed; Justen D. Kozlowski; Paul R. May; John Nyquist; Sandra Sexton; Leslie Curtin; James O. Peabody; Hassan Abol‐Enein; Khurshid A. Guru
• Keywords: Urinary diversion

Objective To describe a detailed step‐by‐step approach of our technique for robot‐assisted intracorporeal ‘W’‐configuration orthotopic ileal neobladder. Patients and Methods Five patients underwent radical cystectomy ( RARC ), extended pelvic lymph node dissection neobladder ICNB ). was divided into six key steps to facilitate enable analysis auditing the technique. No conversion open surgery required. Timing each step noted. All had at least 3 months follow‐up. Results The mean age 57 years. overall console diversion times were 357 193 min, respectively. None any evidence residual disease after . Four five complications; three developed fevers due urinary tract infections (one required readmission), one myocardial infarction coronary angiography stenting. Looking timing individual steps, bowel detubularisation construction posterior plate consistently longest among (average 46 13% operative time), followed by uretero‐ileal anastomosis (37 10%), neobladder–urethral (23 6%), identification fixation (26 7%). Conclusion We described initial perioperative outcomes first s with ‘W’ configuration.