V10-12: STEP-BY-STEP TECHNIQUE OF ROBOT-ASSISTED RADICAL CYSTECTOMY AT CLEVELAND CLINIC
Video
Introductions and ObjectivesBladder 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.
Funding: none