Y pouch neobladder-a simplified method of intracorporeal neobladder after robotic cystectomy

J Endourol. 2015 Apr;29(4):387-9. doi: 10.1089/end.2014.0507. Epub 2014 Oct 10.

Abstract

In recent years, robot-assisted radical cystectomy (RARC) has shown similar oncologic outcomes compared with the gold standard open radical cystectomy with the added benefit of less blood loss and shorter hospital stay. Robot-assisted cystectomy with intracorporeal ileal neobladder is a complex surgical procedure and is usually performed in centers with experienced surgeons. We propose robot-assisted cystectomy with intracorporeal neobladder using the Y pouch previously described in open radical cystectomy. We think that the Y pouch is easier to perform than conventional spherical pouches without compromising functional outcomes. It may therefore be a good alternative for patients undergoing RARC with intracorporeal diversion.

Publication types

  • Video-Audio Media

MeSH terms

  • Carcinoma, Transitional Cell / surgery*
  • Cystectomy / methods*
  • Humans
  • Ileum / transplantation*
  • Length of Stay
  • Robotic Surgical Procedures / methods*
  • Time Factors
  • Urinary Bladder Neoplasms / surgery*
  • Urinary Diversion / methods*