Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre

Objectives. To describe our technique of robotic intracorporeal ileal conduit formation (RICIC) during robotic-assisted radical cystectomy (RARC). To report our initial results of this new procedure. Patients and Methods. Seven male and one female patients underwent RARC with RICIC over a six-month...

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Main Authors: Conrad V. Bishop, Nikhil Vasdev, Gregory Boustead, James M. Adshead
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2013/642836
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author Conrad V. Bishop
Nikhil Vasdev
Gregory Boustead
James M. Adshead
author_facet Conrad V. Bishop
Nikhil Vasdev
Gregory Boustead
James M. Adshead
author_sort Conrad V. Bishop
collection DOAJ
description Objectives. To describe our technique of robotic intracorporeal ileal conduit formation (RICIC) during robotic-assisted radical cystectomy (RARC). To report our initial results of this new procedure. Patients and Methods. Seven male and one female patients underwent RARC with RICIC over a six-month period. Demographic, operative, and outcome data was collected prospectively. Median patient age was 75 years (range 62–78 years). Median followup was 9 months (range 7–14 months). Results. RARC with RICIC was performed successfully in all eight patients. The median total operating time was 360 minutes (range 310–440 minutes) with a median blood loss of 225 mL (range 50–1000 mL). The median length of stay was nine days (range 6–34 days). Four patients (50%) were discharged within seven days. Four patients (50%) experienced one or more complications. This included two Clavien I complications, two Clavien II complications, and two Clavien III complications. Two patients (25%) required transfusion of two units each. To date, there have been no complications associated with the ileal conduit. Conclusion. Whilst being technically challenging, this procedure is safe, feasible, and reproducible. Patients who avoid complication show potential for rapid recovery and early discharge.
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spelling doaj-art-a45fb55aeb9e41fd96fbbac0da4bc3c92025-08-20T03:38:24ZengWileyAdvances in Urology1687-63691687-63772013-01-01201310.1155/2013/642836642836Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK CentreConrad V. Bishop0Nikhil Vasdev1Gregory Boustead2James M. Adshead3Hertfordshire and South Bedfordshire Urological Cancer Centre, Lister Hospital, Stevenage SG14AB, UKHertfordshire and South Bedfordshire Urological Cancer Centre, Lister Hospital, Stevenage SG14AB, UKHertfordshire and South Bedfordshire Urological Cancer Centre, Lister Hospital, Stevenage SG14AB, UKHertfordshire and South Bedfordshire Urological Cancer Centre, Lister Hospital, Stevenage SG14AB, UKObjectives. To describe our technique of robotic intracorporeal ileal conduit formation (RICIC) during robotic-assisted radical cystectomy (RARC). To report our initial results of this new procedure. Patients and Methods. Seven male and one female patients underwent RARC with RICIC over a six-month period. Demographic, operative, and outcome data was collected prospectively. Median patient age was 75 years (range 62–78 years). Median followup was 9 months (range 7–14 months). Results. RARC with RICIC was performed successfully in all eight patients. The median total operating time was 360 minutes (range 310–440 minutes) with a median blood loss of 225 mL (range 50–1000 mL). The median length of stay was nine days (range 6–34 days). Four patients (50%) were discharged within seven days. Four patients (50%) experienced one or more complications. This included two Clavien I complications, two Clavien II complications, and two Clavien III complications. Two patients (25%) required transfusion of two units each. To date, there have been no complications associated with the ileal conduit. Conclusion. Whilst being technically challenging, this procedure is safe, feasible, and reproducible. Patients who avoid complication show potential for rapid recovery and early discharge.http://dx.doi.org/10.1155/2013/642836
spellingShingle Conrad V. Bishop
Nikhil Vasdev
Gregory Boustead
James M. Adshead
Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
Advances in Urology
title Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
title_full Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
title_fullStr Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
title_full_unstemmed Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
title_short Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre
title_sort robotic intracorporeal ileal conduit formation initial experience from a single uk centre
url http://dx.doi.org/10.1155/2013/642836
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