V06-05 INTRACORPORPOREAL ROBOTIC CONVERSION OF A NEOBLADDER TO AN ILEAL CONDUIT

Abstract

You have accessJournal of UrologyCME1 Apr 2023V06-05 INTRACORPORPOREAL ROBOTIC CONVERSION OF A NEOBLADDER TO AN ILEAL CONDUIT Mohamed Eltemamy, Rathika Ramkumar, Patrick Michael, and Georges-Pascal Haber Mohamed EltemamyMohamed Eltemamy More articles by this author , Rathika RamkumarRathika Ramkumar More articles by this author , Patrick MichaelPatrick Michael More articles by this author , and Georges-Pascal HaberGeorges-Pascal Haber More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003274.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In this video, we aim to describe the technique and feasibility of intracorporeal robotic conversion of a ileal neobladder to an ileal conduit. METHODS: This is a 68 years old male patient who had a robotic radical cystectomy and intracorporeal ileal neobladder for BCG refractory high risk non muscle invasive bladder cancer. He had his continent diversion for 7 years and was dependent on intermittent self-catheterization to empty his reservoir. After counselling the patient on his options, he elected to have a robotic conversion of his neobladder to an ileal conduit. RESULTS: The total operative time was 5 hours and 11 minutes. the estimated blood loss was minimal. No complications were noted and the patient was discharged on post operative day 1. We were able to reutilize the neobladder wall. This was done by partial resection of the pouch wall and reconfiguring the remaining wall in to a tube to reconstruct a new ileal conduit. In doing so, we avoided doing a new intestinal anastomosis and uretero-ileal anastomosis. CONCLUSIONS: We demonstrate the surgical steps for robotic conversion of a neobladder to an ileal conduit. This procedure is safe and technically feasible. Recycling the neobladder wall should always be favored over new construction of an ileal conduit as it avoids the need for intestinal anastomosis and redoing of an already patent uretero-ileal anastomosis. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e510 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mohamed Eltemamy More articles by this author Rathika Ramkumar More articles by this author Patrick Michael More articles by this author Georges-Pascal Haber More articles by this author Expand All Advertisement PDF downloadLoading ...