V10-12 STEP-BY-STEP TECHNIQUE OF ROBOT-ASSISTED RADICAL CYSTECTOMY AT CLEVELAND CLINIC

Abstract

You have accessJournal of UrologyBladder Oncology/Robotics1 Apr 2014V10-12 STEP-BY-STEP TECHNIQUE OF ROBOT-ASSISTED RADICAL CYSTECTOMY AT CLEVELAND CLINIC Humberto Laydner, Luis Felipe Brandão, Oktay Akça, Homayoun Zargar, Jayram Krishnan, Dinesh Samarasekera, Riccardo Autorino, Ryan Berglund, Amr Fergany, Georges-Pascal Haber, Robert Stein, Michael Gong, Andrew Stephenson, and Jihad Kaouk Humberto LaydnerHumberto Laydner More articles by this author , Luis Felipe BrandãoLuis Felipe Brandão More articles by this author , Oktay AkçaOktay Akça More articles by this author , Homayoun ZargarHomayoun Zargar More articles by this author , Jayram KrishnanJayram Krishnan More articles by this author , Dinesh SamarasekeraDinesh Samarasekera More articles by this author , Riccardo AutorinoRiccardo Autorino More articles by this author , Ryan BerglundRyan Berglund More articles by this author , Amr FerganyAmr Fergany More articles by this author , Georges-Pascal HaberGeorges-Pascal Haber More articles by this author , Robert SteinRobert Stein More articles by this author , Michael GongMichael Gong More articles by this author , Andrew StephensonAndrew Stephenson More articles by this author , and Jihad KaoukJihad Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2461AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Bladder cancer is the fourth most common cancer diagnosed in men in the US and about 15,210 deaths in 2013 are estimated by the American Cancer Society. Despite its complex technical nature and the lack of long-term data, robotic radical cystectomy has been shown to have equivalent perioperative outcomes in comparison to open surgery. Herein, we describe our step-by-step technique of robotic radical cystectomy, robotic pelvic lymph node dissection and urinary diversion. METHODS The presented movie is an analysis of recorded videos from robotic radical cystectomies with focus on the description of the step-by-step technique used in our institution. Surgical steps are divided into patient positioning and port placement, docking of robot, ureteral dissection, posterior dissection, apical dissection, lymphadenectomy and urinary diversion. Art illustration of each technical step is presented highlighting main steps of the recorded surgery. Urinary diversion using ileal conduit or Studer neobladder was performed with either an intracorporeal robotic or extracorporeal open approach. RESULTS The presented movie is an analysis of recorded videos from robotic radical cystectomies with focus on the description of the step-by-step technique used in our institution. Surgical steps are divided into patient positioning and port placement, docking of robot, ureteral dissection, posterior dissection, apical dissection, lymphadenectomy and urinary diversion. Art illustration of each technical step is presented highlighting main steps of the recorded surgery. Urinary diversion using ileal conduit or Studer neobladder was performed with either an intracorporeal robotic or extracorporeal open approach. CONCLUSIONS Robotic radical cystectomy with urinary diversion is presented in a step-by-step fashion that highlights the major stages of this complex and lengthy procedure. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e910 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Humberto Laydner More articles by this author Luis Felipe Brandão More articles by this author Oktay Akça More articles by this author Homayoun Zargar More articles by this author Jayram Krishnan More articles by this author Dinesh Samarasekera More articles by this author Riccardo Autorino More articles by this author Ryan Berglund More articles by this author Amr Fergany More articles by this author Georges-Pascal Haber More articles by this author Robert Stein More articles by this author