Department of Urology, Roswell Park Cancer Institute, Elm and Carlton streets, Buffalo, NY 14263, USA.
Robotic Surgery and ATLAS (Applied Technology Laboratory for Advanced Surgery), Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Urol Clin North Am. 2014 Nov;41(4):503-9. doi: 10.1016/j.ucl.2014.07.005. Epub 2014 Sep 12.
Radical cystectomy can only be considered as minimally invasive when both extirpative and reconstructive part of the procedure are performed with an intracorporeal approach. Robot-assisted radical cystectomy makes it possible to achieve this task, which seemed difficult with conventional laparoscopy. Intracorporeal urinary diversion (ICUD) is associated with better perioperative outcomes. Quality-of-life assessments and functional outcomes from continent ICUD are encouraging. Working in high-volumes center with mentored training can help robotic surgeons to learn the techniques of ICUD in conjunction with robot-assisted radical cystectomy. This article discusses the perioperative and functional outcomes of ICUD with a review of literature.
根治性膀胱切除术只有在进行根治性切除术和重建术时采用腔内方法才能被视为微创手术。机器人辅助根治性膀胱切除术使得这一任务成为可能，而这在传统腹腔镜下似乎是困难的。腔内尿流改道术（ICUD）与更好的围手术期结果相关。来自 continent ICUD 的生活质量评估和功能结果令人鼓舞。在高容量中心进行有指导的培训可以帮助机器人外科医生学习与机器人辅助根治性膀胱切除术相结合的 ICUD 技术。本文通过文献回顾讨论了 ICUD 的围手术期和功能结果。
