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Video: Step by Step. Evolution of robot-assisted orthotopic ileal neobladder formation




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Evolution of robot-assisted orthotopic ileal neobladder formation: a step-by-step update to the University of Southern California (USC) technique

Sameer Chopra, Andre Luis de Castro Abreu, Andre K. Berger, Shuchi SehgalInderbir Gill, Monish Aron and Mihir M. Desai

 

USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

 

Objective

To describe our, step-by-step, technique for robotic intracorporeal neobladder formation.

Patients and Methods

The main surgical steps to forming the intracorporeal orthotopic ileal neobladder are: isolation of 65 cm of small bowel; small bowel anastomosis; bowel detubularisation; suture of the posterior wall of the neobladder; neobladder–urethral anastomosis and cross folding of the pouch; and uretero-enteral anastomosis. Improvements have been made to these steps to enhance time efficiency without compromising neobladder configuration.

Results

Our technical improvements have resulted in an improvement in operative time from 450 to 360 min.

Conclusion

We describe an updated step-by-step technique of robot-assisted intracorporeal orthotopic ileal neobladder formation.

 

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