V01-10 ROBOT-ASSISTED CYSTECTOMY WITH TOTAL INTRACORPOREAL ILEAL CONDUIT FOR NEURO-UROLOGICAL PATIENTS

Abstract

You have accessJournal of UrologyIncontinence & Female Pelvic Medicine/Reconstructive Surgery (V01)1 Sep 2021V01-10 ROBOT-ASSISTED CYSTECTOMY WITH TOTAL INTRACORPOREAL ILEAL CONDUIT FOR NEURO-UROLOGICAL PATIENTS Imad Bentellis, Emmanuel Chartier-Kastler, Jerome Parra, Cyrille Guillot-Tantay, and Véronique Phé Imad BentellisImad Bentellis More articles by this author , Emmanuel Chartier-KastlerEmmanuel Chartier-Kastler More articles by this author , Jerome ParraJerome Parra More articles by this author , Cyrille Guillot-TantayCyrille Guillot-Tantay More articles by this author , and Véronique PhéVéronique Phé More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001970.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Cystectomy with ileal conduit is the last resort treatment of neurogenic lower urinary tract dysfunction. Data are scarce regarding the totally robotic approach of this procedure. The objective was to evaluate the technique, safety and outcomes of robot-assisted cystectomy with total intracorporeal ileal conduit in adult neuro-urological patients. METHODS: We identified all patients who underwent robot-assisted cystectomy with total intracorporeal ileal conduit between 2016 and 2019 in our center. All interventions were performed using a trans-peritoneal approach with a Da Vinci four-arm robot.Perioperative data and postoperative complications within 30 days were reported according to Clavien-Dindo classification and Martin’s criteria. Long-term complications, reoperation rates, postoperative renal function and stoma management were assessed. RESULTS: Overall, eleven patients were included, median age 57 years [52-64]. Median preoperative glomerular filtration rate (GFR) was 105 mL/min [51-117]. No conversion to open surgery was needed. Median operative time was 180 min [150-240] with less than 100 ml blood loss. The median hospital stay was 15 days [13-15]. Four early post-operative Clavien 2 complications (36%) were reported including one urinary tract infection, one intestinal occlusion, one pulmonary embolism and one pelvic collection. The median follow-up time was 20 months [12-49]. There was no reoperation recorded. One symptomatic urinary tract infection occurred. The median postoperative GFR was 110 ml/min [85-126]. The correct fitting of the stoma was achieved for 100% (11/11) of the patients. A higher number of patients and longer follow-up are warranted to draw definitive conclusions. CONCLUSIONS: Robot-assisted cystectomy with total intracorproreal ileal in neuro-urological patients is a feasible, safe and efficient procedure. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e64-e65 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Imad Bentellis More articles by this author Emmanuel Chartier-Kastler More articles by this author Jerome Parra More articles by this author Cyrille Guillot-Tantay More articles by this author Véronique Phé More articles by this author Expand All Advertisement Loading ...