Single-Port Robotic Radical Cystectomy with Intracorporeal Creation of Neobladder: Description of Technique and Perioperative Outcomes

Abstract

Objective:

The single-port robotic system was first introduced in 2018 and its use has been reported widely in the field of urology but there have been scant reports of its use in cystectomy. To date, there has been no literature on the use of the single-port system with radical cystectomy with intracorporeal creation of neobladder. This study aims to demonstrate and describe this technique in males and females.

Methods:

This is an institutional review board approved prospective cohort study on robotic radical cystectomy. We selected one patient as a representative sample of single-port robotic radical cystectomy with intracorporeal neobladder creation. We performed surgery by duplicating the institutional steps of the multiport approach.

Results:

In total, we have performed single-port radical cystectomies with intracorporeal neobladder effectively performed in six patients. There were no conversions to multiport. There were no intraoperative or immediate postoperative complications.

Conclusions:

This video demonstrates the feasibility of single-port radical cystectomy with intracorporeal neobladder creation in both genders. More extensive multi-institutional studies comparing single-port and multiport radical cystectomy are needed to determine this approach's benefits.

No competing financial interests exist

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Runtime of video: 4 mins 49 secs