Sim Allen, Todenhöfer Tilman, Mischinger Johannes, Halalsheh Omar, Fahmy Omar, Boettge Johannes, Rausch Steffen, Bier Simone, Aufderklamm Stefan, Liatsikos Evangelos, Stenzl Arnulf, Gakis Georgios, Schwentner Christian
1 Department of Urology, Eberhard-Karls-University , Tübingen, Germany .
J Endourol. 2015 Apr;29(4):387-9. doi: 10.1089/end.2014.0507. Epub 2014 Oct 10.
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.
近年来，机器人辅助根治性膀胱切除术（RARC）与金标准开放性根治性膀胱切除术相比，显示出相似的肿瘤学结局，且具有失血更少、住院时间更短的额外优势。机器人辅助体内回肠新膀胱膀胱切除术是一种复杂的外科手术，通常在有经验丰富外科医生的中心进行。我们建议采用在开放性根治性膀胱切除术中先前描述的Y形贮袋进行机器人辅助体内新膀胱膀胱切除术。我们认为Y形贮袋比传统的球形贮袋更容易操作，且不影响功能结局。因此，对于接受RARC并行体内改道的患者而言，它可能是一个很好的选择。
