Robot-assisted radical cystectomy with intracorporeal Mainz â
¡ rectosigmoid pouch for muscle-invasive bladder cancer.
Int J Med Robot
; 17(5): e2284, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-34004045
ABSTRACT
BACKGROUND:
To report the surgical techniques and results of robot-assisted radical cystectomy (RARC) with intracorporeal Mainz â ¡ rectosigmoid pouch at our centre.METHODS:
Two female patients were treated with this procedure. Construction of the pouch was divided into four mainsteps:
incision of the rectum and sigmoid colon, closure of the posterior wall of the pouch, reimplantation of the ureters at the bottom of pouch in an anti-reflux manner, and closure of the anterior wall. Surgical results and perioperative complications were assessed.RESULTS:
The operations were performed completely intracorporeally. No perioperative complications were observed. Postoperatively, high-grade invasive urothelial carcinoma was detected. On postoperative day 60, no bilateral ureteral dilation was detected. Two patients demonstrated total continence. Clinical recurrence was not observed during the follow-up period.CONCLUSIONS:
With careful patient selection, robot-assisted intracorporeal Mainz â ¡ rectosigmoid pouch might be a simple minimally invasive surgical technique to be evaluated in repeated applications.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivação Urinária
/
Neoplasias da Bexiga Urinária
/
Robótica
/
Carcinoma de Células de Transição
Limite:
Female
/
Humans
Idioma:
En
Revista:
Int J Med Robot
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
China