V12-07: Totally intracorporeal robot-assisted vescica ileale padovana (vip) using staplers: a stepwise appro

V12-07: Totally intracorporeal robot-assisted vescica ileale padovana (vip) using staplers: a stepwise approach

Video

Introductions and Objectives
Robotic radical cystectomy (RRC) with intracorporeal neobladder reconstruction is gaining popularity. Nevertless the procedure is still considered complex and characterized by a long operative time. In this video we show our step by step technique of robotic intracorporeal VIP using staplers to construct part of the reservoir.

Methods
From August 2012 to October 2014, 91 patients underwent robotic intracorporeal VIP using staplers to construct part of the reservoir at a single tertiary cancer center. _x000D_ We performed RRC, extended lymphadenectomy, and totally intracorporeal Padua neobladder. The surgical technique is shown in the accompanying video.

Results
Totally intracorporeal VIP was successfully performed in all 91 patients. Mean estimated blood loss was 200 ml (SD 60), median operative time (console time) was 4.2 hours (range: 4-6 hours), median time to regular diet was 6 d (range: 5–21 d), median hospital stay was 8 d (range: 6–45 d). No intraoperative complications occurred. Minor complications (Clavien grade 1-2) occurred in 27% of the patients while major complications (Clavien grade 3-5) were detected in 9% of the patients. No stones in the neobladder were observed during the follow-up.

Conclusions
Robot-assisted orthotopic neobladder (VIP) is feasible and safe. The partially stapled neobladder we presented could shorten operative time for totally intracorporeal urinary diversion.

Funding: none