Totally intracorporeal robot-assisted urinary diversion for bladder cancer (part 2). Review and detailed characterization of the existing intracorporeal orthotopic ileal neobladder

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dc.contributor.authorOtaola, Hugo
dc.contributor.authorSeetharam, Kulthe
dc.contributor.authorPatel, Vipul
dc.contributor.authorCovas, Marcio
dc.contributor.authorOrvieto, Marcelo
dc.date.accessioned2022-08-18T17:10:25Z
dc.date.available2022-08-18T17:10:25Z
dc.date.issued2021
dc.description.abstractAbstract: To review the most used intracorporeal orthotopic ileal neobladder (ICONB) after radical cystectomy for bladder cancer and create a unified compendium of the different alternatives, including new consistent images. Methods: We performed a non-systematic review of the literature with the keywords "bladder cancer", "urinary diversion", "radical cystectomy", and "neobladder". Results: Forty studies were included in the analysis. The most frequent type of ICONB was the modified Studer "U" neobladder (70%) followed by the Hautmann "W" modified neobladder (7.5%), the "Y" neobladder (5%), and the Padua neobladder (5%). The operative time to perform a urinary diversion ranged from 124 to 553 min. The total estimated blood loss ranged from 200 to 900 mL. The rate of positive surgical margins ranged from 0% to 8.1%. Early minor and major complication rates ranged from 0% to 100% and from 0% to 33%, respectively. Late minor and major complication rates ranged from 0% to 70% and from 0% to 25%, respectively. Conclusion: The most frequent types of ICONB are Studer "U" neobladder, Hautmann "W" neobladder, "Y" neobladder, and the Padua neobladder. Randomized studies comparing the performance of the different types of ICONB, the performance in an intra or extracorporeal manner, or the performance of an ICONB versus ICIC are lacking in the literature. To this day, there are not sufficient quality data to determine the supremacy of one technique. This manuscript represents a compendium of the most used ICONB with detailed descriptions of the technical aspects, operative and perioperative outcomes, and new consistent images of each technique.es
dc.description.versionVersión publicadaes
dc.identifier.citationOtaola-Arca H, Seetharam Bhat KR, Patel VR, Moschovas MC, Orvieto M. Totally intracorporeal robot-assisted urinary diversion for bladder cancer (part 2). Review and detailed characterization of the existing intracorporeal orthotopic ileal neobladder. Asian J Urol. 2021;8(1):63-80. DOI: 10.1016/j.ajur.2020.05.013es
dc.identifier.urihttps://doi.org/10.1016/j.ajur.2020.05.013es
dc.identifier.urihttp://hdl.handle.net/11447/6528
dc.language.isoenes
dc.subjectBladder canceres
dc.subjectIleal orthotopic neobladdees
dc.subjectIntracorporeal urinary diversiones
dc.subjectRobot-assisted radical cystectomyes
dc.subjectSurgical techniquees
dc.titleTotally intracorporeal robot-assisted urinary diversion for bladder cancer (part 2). Review and detailed characterization of the existing intracorporeal orthotopic ileal neobladderes
dc.typeArticlees
dcterms.sourceAsian Journal of Urologyes

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