Robot- assisted urinary undiversion from orthotopic neobladder to ileal conduit

Giuseppe Simone1, Rocco Papalia2, Mariaconsiglia Ferriero3, Salvatore Guaglianone3, Riccardo Mastroianni3, Gabriele Tuderti4, Michele Gallucci3
  • 1 Istituto Nazionale Tumori "Regina Elena", Ospedale San Giovanni Bosco (Roma, Torino)
  • 2 Istituto Nazionale Tumori "Regina Elena", Università Campus Biomedico (Roma)
  • 3 Istituto Nazionale Tumori "Regina Elena" (Roma)
  • 4 Istituto Nazionale Tumori "Regina Elena", Università "Sapienza" di Roma (Roma)

Abstract

To describe the technique of Robot-assisted laparoscopic undiversion from a orthotopic ileal neobladder to an ileal conduit.
We report a case of a female patient who previously underwent radical cystectomy and orthotopic ileal neobladder affected by recurrent urinary tract infections and urolithiasis of the distal right ureter.
The video highlights surgical steps of neobladder removal and ileal conduit configuration with a Wallace uretero-ileal anastomosis.
Mean operative time was 180 minutes, intraoperative blood loss was 100 ml, perioperative course was uneventful.
Robot- assisted laparoscopic undiversion from an orthotopic ileal neobladder to an ileal conduit is a challenging but technically feasible procedure.

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